Provider Demographics
NPI:1972549780
Name:WEST,SCHARF,CONTE,BASTIANELLI,P.A.
Entity type:Organization
Organization Name:WEST,SCHARF,CONTE,BASTIANELLI,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHARF
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:908-241-0200
Mailing Address - Street 1:505 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:ROSELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07204-1927
Mailing Address - Country:US
Mailing Address - Phone:908-241-0200
Mailing Address - Fax:908-241-1615
Practice Address - Street 1:505 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ROSELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07204-1927
Practice Address - Country:US
Practice Address - Phone:908-241-0200
Practice Address - Fax:908-241-1615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ468616Medicare ID - Type Unspecified