Organization Active NPI

Scott a Brown, D.C. P.a

  • Chiropractor
  • Woodbury, NJ
National Provider Identifier
1043370307
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3499 Issued in NJ
Legal business name
SCOTT A BROWN, D.C. P.A
Practice address
1297 Clements Bridge Rd
Woodbury, NJ 08096-3001
Phone
(856) 848-4442
Fax
(856) 848-1836
NPI assigned
Dec 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Scott A Brown, D.C.NPI 1073552618
Title
Chiropractor
Phone
(856) 848-4442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3499 NJ Primary

Addresses

Primary practice location

1297 Clements Bridge Rd
Woodbury, NJ 08096-3001

Mailing address

1297 Clements Bridge Rd
Deptford, NJ 08096-3001
Phone (856) 848-4442

Other identifiers 2

IdentifierTypeStateIssuer
2285756000OtherNJAMERIHELATH ID#
1758004MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040701001066 NJ Part B Supplier - Clinic/Group Practice 0648257279 Receives reassigned benefits from 1 practitioner
Practice locations: Deptford, NJ

National Provider Directory

National Provider Directory

Locations

1297 Clements Bridge Rd
Woodbury, NJ 08096
Phone (856) 848-4442

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1043370307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1297 CLEMENTS BRIDGE RD",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080963001",
            "telephone_number": "856-848-4442",
            "fax_number": "856-848-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 CLEMENTS BRIDGE RD",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963001",
            "telephone_number": "856-848-4442",
            "fax_number": "856-848-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A BROWN, D.C. P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-09",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "856-848-4442",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "3499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHELATH ID#",
            "identifier": "2285756000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1758004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.