Individual provider Active NPI

Scott Evan Spagnolo-Hye, D.O.

  • Family Medicine Physician
  • Vineland, NJ
National Provider Identifier
1053514653
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
238708 Issued in NY
Practice address
301 S Main Rd
Vineland, NJ 08360-7897
Phone
(856) 293-6974
Fax
(856) 825-6165
NPI assigned
Jun 9, 2007
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 25MB09887900 NJ
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 238708 NY
Family Medicine Physician 207Q00000X 25MB09887900 NJ
Family Medicine Physician 207Q00000X 238708 NY Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 238708 NY
Pain Medicine Physician 208VP0000X 238708 NY

Addresses

Primary practice location

301 S Main Rd
Vineland, NJ 08360-7897

Mailing address

42 E Laurel Rd
Udp #1700
Stratford, NJ 08084-1354
Phone (856) 566-7010

Other practice location 1

42 E Laurel Rd
Udp #1700
Stratford, NJ 08084-1354
Phone (856) 566-7010

Other practice location 2

3403 S Delsea Dr
Vineland, NJ 08360-7449
Phone (856) 692-0502

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160808001198 NJ Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6305980020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Urgent Care Medicine of New Jersey LLPGroup PAC ID 6002178647, 9 clinicians

Practice addresses (Care Compare)

1210 Route 130 N
Suite 1438
Cinnaminson, NJ 08077-3046
Phone (856) 829-0407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS10552FLMDNeuromusculoskeletal Medicine & OMM Physician
238708NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Aug 7, 2020 Accepting new patients

Locations

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

811 Route 33
Trenton, NJ 08619
Phone (609) 586-2273

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1053514653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD",
            "address_2": "UDP #1700",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-7010",
            "fax_number": "856-566-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MAIN RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607897",
            "telephone_number": "856-293-6974",
            "fax_number": "856-825-6165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 E Laurel Rd",
            "address_2": "UDP #1700",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841354",
            "country_code": "US",
            "telephone_number": "856-566-7010",
            "fax_number": "856-566-6956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3403 S Delsea Dr",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083607449",
            "country_code": "US",
            "telephone_number": "856-692-0502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAGNOLO-HYE",
        "first_name": "SCOTT",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-09",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NJ",
            "license": "25MB09887900",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "238708",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09887900",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "238708",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NY",
            "license": "238708",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "238708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.