Individual provider Active NPI

Scott Andrew Gregory, D.C.

  • Chiropractor
  • Laurel Springs, NJ
National Provider Identifier
1184753402
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00364400 Issued in NJ
Practice address
1400 Chews Landing Rd
Suite 2
Laurel Springs, NJ 08021-2770
Phone
(856) 627-3169
Fax
(856) 627-3169
NPI assigned
Mar 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00364400 NJ Primary

Addresses

Primary practice location

1400 Chews Landing Rd
Suite 2
Laurel Springs, NJ 08021-2770

Mailing address

1400 Chews Landing Rd
Suite 2
Laurel Springs, NJ 08021-2770
Phone (856) 308-9116

Other identifiers 1

IdentifierTypeStateIssuer
5232404608OtherNJCDL MEDICAL EXAMINER (FMCSA)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111121000601 NJ Practitioner - Chiropractic 2860666237 Practice locations: Laurel Springs, NJ

Care Compare profile

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

Practice addresses (Care Compare)

1400 Chews Landing Rd
Suite 2
Laurel Springs, NJ 08021-2770
Phone (856) 308-9116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1184753402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CHEWS LANDING RD",
            "address_2": "SUITE 2",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212770",
            "telephone_number": "856-308-9116",
            "fax_number": "856-627-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CHEWS LANDING RD",
            "address_2": "SUITE 2",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212770",
            "telephone_number": "856-627-3169",
            "fax_number": "856-627-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "SCOTT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-04",
        "last_updated": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00364400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDL MEDICAL EXAMINER (FMCSA)",
            "identifier": "5232404608",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel Springs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.