Scott W Gardner DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SCOTT W GARDNER DC LLC

Practice address

799 Clifton Ave
Clifton, NJ 07013-1815

Phone

(973) 614-9256

Fax

(973) 614-9258

NPI assigned

Dec 20, 2011

Organization subpart

No

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

Authorized official

Name

Sheri Gardner

Title

Assistant

Phone

(973) 614-9256

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Scott William Gardner, D.C.

  • Chiropractor
  • Clifton, NJ
  • NPI 1740406453
  Medicare reassignment NPD

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1053680132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131815",
            "telephone_number": "973-614-9256",
            "fax_number": "973-614-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131815",
            "telephone_number": "973-614-9256",
            "fax_number": "973-614-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT W GARDNER DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "973-614-9256"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margot Lynn Schwartz, PSYD
• Deanna Lynn Scoca, MD
• Alaina Scordilis, LAC
• Alexandra K Scordilis, OTR/L
• George C Scordilis, DC
• Robert Frank Scott, DDS
• Lori Scudillo
• Michael Scudillo, OTR, CHC
• Sebastian Medical Associates Corporation
• Secura Home Health LLC

• Chiropractor in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.