Active NPI
Scott James Stevens, CPRS
- Peer Specialist
- Williamstown, NJ
National Provider Identifier
1063136349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 1903 Grant Ave
Williamstown, NJ 08094-6139 - Phone
- (856) 629-0244
- NPI assigned
- Sep 29, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
1903 Grant Ave
Williamstown, NJ 08094-6139
Mailing address
8 East Ave
Pitman, NJ 08071-1438
Phone (856) 203-5621
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sstevens@maryvillenj.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryville, Inc. | Past | Accepting new patients | |
| Maryville, Inc | Past | Accepting new patients |
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.
-
- Substance Abuse Rehabilitation Facility
- Williamstown, NJ
- NPI 1073023354
-
- Substance Abuse Rehabilitation Facility
- Williamstown, NJ
- NPI 1801018361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1063136349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 EAST AVE",
"city": "PITMAN",
"state": "NJ",
"postal_code": "080711438",
"telephone_number": "856-203-5621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 GRANT AVE",
"city": "WILLIAMSTOWN",
"state": "NJ",
"postal_code": "080946139",
"telephone_number": "856-629-0244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "SCOTT",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "CPRS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-29",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sstevens@maryvillenj.org",
"affiliation": "N",
"endpointDescription": "Secure Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1903 Grant Ave",
"city": "Williamstown",
"state": "NJ",
"country_code": "US",
"postal_code": "080946139",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Williamstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.