Provider Demographics
NPI:1902663560
Name:FINOCCHIARO, SCARLETT (FNP)
Entity type:Individual
Prefix:
First Name:SCARLETT
Middle Name:
Last Name:FINOCCHIARO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SCARLETT
Other - Middle Name:
Other - Last Name:FINOCCHIARO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:379 CAMPUS DR FL 4
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1161
Mailing Address - Country:US
Mailing Address - Phone:732-937-8939
Mailing Address - Fax:732-418-8372
Practice Address - Street 1:200 WILLIAMSON ST STE 320
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-2909
Practice Address - Country:US
Practice Address - Phone:908-994-5750
Practice Address - Fax:908-558-0269
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-29
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJF02240688208D00000X
NJ26NJ15044000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice