Individual provider Active NPI

Scott M Raboy, DPM

  • Podiatrist
  • Clifton, NJ
National Provider Identifier
1073622684
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00188500 Issued in NJ
Practice address
1081 Paulison Ave
Clifton, NJ 07011-3627
Phone
(973) 340-1400
Fax
(973) 340-7470
NPI assigned
Aug 29, 2006
Last updated
Jan 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00188500 NJ Primary

Addresses

Primary practice location

1081 Paulison Ave
Clifton, NJ 07011-3627

Mailing address

1081 Paulison Ave
Clifton, NJ 07011-3627
Phone (973) 340-1400

Other identifiers 6

IdentifierTypeStateIssuer
0446761000OtherNJAMERIHEALTH
480028342OtherNJPALMETTO GBA RAILROAD MED
86986OtherNJAMERIGROUP
F03338OtherCARECORE
0138844OtherNJGHI
HUL000204OtherNJAMERICHOICE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070206000484 NJ Practitioner - Podiatry 1951303874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1081 Paulison Ave
Suite 2
Clifton, NJ 07011-3658
Phone (973) 340-1400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1885NJMDChiropractor
25MD00188500NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Allcare Foot and Ankle Center,LLC CurrentSince Sep 14, 1990 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

1081 Paulison Ave
Clifton, NJ 07011
Phone (973) 253-6002

1081 Paulison Ave
Ste 2
Clifton, NJ 07011
Phone (973) 340-1400

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

2811 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 319-0008

96 Parkway
Rochelle Park, NJ 07662
Phone (201) 221-2351

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

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 3

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1073622684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 PAULISON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113627",
            "telephone_number": "973-340-1400",
            "fax_number": "973-340-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 PAULISON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113627",
            "telephone_number": "973-340-1400",
            "fax_number": "973-340-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABOY",
        "first_name": "SCOTT",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00188500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0446761000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MED",
            "identifier": "480028342",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "86986",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARECORE",
            "identifier": "F03338",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0138844",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "HUL000204",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.