Individual provider Active NPI

Steven Joseph Scafidi, D.C.

  • Chiropractor
  • Marlton, NJ
National Provider Identifier
1104901479
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00346600 Issued in NJ
Practice address
951 Tuckerton Rd Ste a
Marlton, NJ 08053-2653
Phone
(856) 983-8588
Fax
(856) 983-8628
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00346600 NJ Primary

Addresses

Primary practice location

951 Tuckerton Rd Ste a
Marlton, NJ 08053-2653

Mailing address

951 Tuckerton Rd Ste a
Marlton, NJ 08053-2653
Phone (856) 983-8588

Other identifiers 1

IdentifierTypeStateIssuer
3813801MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040709000516 NJ Practitioner - Chiropractic 5799763488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

951 Tuckerton Rd
Marlton, NJ 08053-2653

951 Tuckerton Rd a
Marlton, NJ 08053-2653
Phone (856) 983-8588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00346600NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
America Chiropractic Centers, Inc. Chiropractor CurrentSince Jan 1, 1990 Accepting new patients

Locations

951 Tuckerton Rd
#A
Marlton, NJ 08053
Phone (609) 983-8588

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104901479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 TUCKERTON RD STE A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532653",
            "telephone_number": "856-983-8588",
            "fax_number": "856-983-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 TUCKERTON RD STE A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532653",
            "telephone_number": "856-983-8588",
            "fax_number": "856-983-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAFIDI",
        "first_name": "STEVEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00346600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3813801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.