Organization Active NPI

Tracy Scheller, MD LLC

  • Legal Medicine
  • Englewood, NJ
National Provider Identifier
1295073617
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
MA72400 Issued in NJ
Legal business name
TRACY SCHELLER, MD LLC
Practice address
370 Grand Ave
Suite 202
Englewood, NJ 07631-4154
Phone
(201) 894-9599
Fax
(201) 894-9192
NPI assigned
Jan 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Valerie Ford
Title
Office Manager
Phone
(201) 894-9599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X MA72400 NJ Primary

Addresses

Primary practice location

370 Grand Ave
Suite 202
Englewood, NJ 07631-4154

Mailing address

370 Grand Ave
Suite 202
Englewood, NJ 07631-4154
Phone (201) 894-9599

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1295073617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 GRAND AVE",
            "address_2": "SUITE 202",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314154",
            "telephone_number": "201-894-9599",
            "fax_number": "201-894-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 GRAND AVE",
            "address_2": "SUITE 202",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314154",
            "telephone_number": "201-894-9599",
            "fax_number": "201-894-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY SCHELLER, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-894-9599"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NJ",
            "license": "MA72400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.