Individual provider Active NPI

Peter J Scordilis, DC

  • Chiropractor
  • Bloomfield, NJ
National Provider Identifier
1043318785
Registry record updated Sep 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00645800 Issued in NJ
Practice address
300 Broadacres Dr
Bloomfield, NJ 07003-3153
Phone
(973) 473-4481
Fax
(973) 893-8259
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00645800 NJ Primary

Addresses

Primary practice location

300 Broadacres Dr
Bloomfield, NJ 07003-3153

Mailing address

300 Broadacres Dr
Bloomfield, NJ 07003-3153
Phone (973) 473-4481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060413000105 NJ Practitioner - Chiropractic 7911911631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scordilis Family Chiropractic PAGroup PAC ID 9830103555, 3 clinicians

Practice addresses (Care Compare)

300 Broadacres Dr
Suite 126
Bloomfield, NJ 07003-3153
Phone (973) 473-4481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00645800NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Scordilis Family Chiropractic, PA CurrentSince Dec 17, 2014 Accepting new patients
Clifton Spine Sports & Rehabilitation Chiropractor Past Accepting new patients

Locations

300 Broadacres Dr
Ste 126
Bloomfield, NJ 07003
Phone (973) 272-5978

925 Allwood Rd
Clifton, NJ 07012
Phone (973) 777-7638

1135 Broad St
Ste 106
Clifton, NJ 07013
Phone (973) 470-0632

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757721600000",
    "number": "1043318785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BROADACRES DR",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033153",
            "telephone_number": "973-473-4481",
            "fax_number": "973-893-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BROADACRES DR",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033153",
            "telephone_number": "973-473-4481",
            "fax_number": "973-893-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCORDILIS",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00645800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.