Scott C Peters, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

044810 Issued in NY

Practice address

127 E Main St
Middletown, NY 10940-5118

Phone

(201) 248-6311

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Amara Dental of Mahwah, P.a.

  dba Dr. Scott Peters, P.A.

  • Dentist
  • Mahwah, NJ
  • NPI 1255721890
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1285637199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405118",
            "telephone_number": "201-248-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405118",
            "telephone_number": "201-248-6311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "293 Green Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Franklin Lakes",
            "state": "NJ",
            "postal_code": "074172011",
            "country_code": "US",
            "telephone_number": "012-486-3112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "SCOTT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "044810",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "DI 18951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia M Perry, FNP
• Louis George Petcu, M.D.
• Jennifer Peterman
• Susan Peters Manez, MSRD
• Marian Peters
• Jennifer L Petersen, CCC-SLP
• Pamela H Petersen, CNM
• Amanda Joy Peterson
• Travonna Peterson, FNP-BC
• Katherine A. Petrillo, R.N.

• Pediatric Dentistry in Middletown, NY
• Providers in Middletown, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.