Individual provider Active NPI

Scott Evan Eder, MD

  • Gynecology Physician
  • Princeton, NJ
National Provider Identifier
1083614150
Registry record updated Jun 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
25MA04362600 Issued in NJ
Practice address
2 Belleview Ter
Princeton, NJ 08540-2216
Phone
(609) 731-1198
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 25MA04362600 NJ Primary

Addresses

Primary practice location

2 Belleview Ter
Princeton, NJ 08540-2216

Mailing address

2 Belleview Ter
Princeton, NJ 08540-2216
Phone (609) 731-1198

Other identifiers 1

IdentifierTypeStateIssuer
4597109MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Lawrenceville Health Information Exchange (HIE)

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
I20091015000560 NJ Practitioner - Obstetrics/Gynecology 7517952559 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Women'S Health & Wellness, LLC Gynecology CurrentSince Sep 11, 2009 Accepting new patients
The Radiology Group of New Jersey, LLC PastSince Sep 11, 2009 Accepting new patients
Lifeline Medical Associates, LLC PastSince Feb 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3100 Princeton Pike
Ste J
Lawrenceville, NJ 08648
Phone (609) 530-0777

666 Plainsboro Rd
Ste 100D
Plainsboro, NJ 08536
Phone (609) 269-4451

666 Plainsboro Rd
Bldg 100
Plainsboro, NJ 08536
Phone (609) 530-0777

Interoperability endpoints

  • Direct secure messaging: scott.eder.1@33603.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1083614150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BELLEVIEW TER",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402216",
            "telephone_number": "609-731-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BELLEVIEW TER",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402216",
            "telephone_number": "609-731-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDER",
        "first_name": "SCOTT",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA04362600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4597109",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Lawrenceville",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3100 Princeton Pike Ste J",
            "city": "Lawrenceville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086482300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.