NPIMap

Individual provider Active NPI

Scott Davidoff, M.D.

  • Physical Medicine & Rehabilitation Physician
  • King of Prussia, PA
National Provider Identifier
1053434399
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD432431 Issued in PA
Practice address
700 S Henderson Rd
Suite 308 C
King of Prussia, PA 19406-3530
Phone
(610) 337-3111
Fax
(610) 337-3506
NPI assigned
Apr 10, 2007
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD432431 PA Primary

Addresses

Primary practice location

700 S Henderson Rd
Suite 308 C
King of Prussia, PA 19406-3530

Mailing address

700 S Henderson Rd
Suite 308 C
King of Prussia, PA 19406-3530
Phone (610) 337-3111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scott.davidoff@mls.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080403000248 PA Practitioner - Physical Medicine and Rehabilitation 6406933209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Temple University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Roy M Lerman M D P CGroup PAC ID 5890775878, 14 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

700 S Henderson Rd
Suite 308C
King of Prussia, PA 19406-4206
Phone (610) 337-3111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD432431PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roy M Lerman MD PC Physical Medicine & Rehabilitation CurrentSince Feb 16, 2010 Accepting new patients
Community Neurology Associates PC Past Accepting new patients

Locations

700 S Henderson Rd
Ste 308C
Kng of Prussa, PA 19406
Phone (610) 337-3111

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1053434399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S HENDERSON RD",
            "address_2": "SUITE 308 C",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063530",
            "telephone_number": "610-337-3111",
            "fax_number": "610-337-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S HENDERSON RD",
            "address_2": "SUITE 308 C",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063530",
            "telephone_number": "610-337-3111",
            "fax_number": "610-337-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDOFF",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD432431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott.davidoff@mls.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "700 S Henderson Rd",
            "address_2": "suite 308 C",
            "city": "King Of Prussia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194063530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.