Organization Active NPI

Scott J Lloyd DC PA

  • Chiropractor
  • Brick, NJ
National Provider Identifier
1306015078
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC05043 Issued in NJ
Legal business name
SCOTT J LLOYD DC PA
Practice address
602 Mantoloking Rd
Suite 11
Brick, NJ 08723-5572
Phone
(732) 477-0777
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Scott James Lloyd, DCNPI 1932205465
Title
Owner
Phone
(732) 477-0777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MC05043 NJ Primary

Addresses

Primary practice location

602 Mantoloking Rd
Suite 11
Brick, NJ 08723-5572

Mailing address

602 Mantoloking Rd
Suite 11
Brick, NJ 08723-5572
Phone (732) 477-0777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080822000223 NJ Part B Supplier - Clinic/Group Practice 1850466012 Receives reassigned benefits from 1 practitioner
Practice locations: Brick, NJ

National Provider Directory

National Provider Directory

Locations

602 Mantoloking Rd
Ste 11
Brick, NJ 08723
Phone (732) 477-0777

602 Mantoloking Rd
#11
Brick, NJ 08723
Phone (732) 477-0777

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": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1306015078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 MANTOLOKING RD",
            "address_2": "SUITE 11",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087235572",
            "telephone_number": "732-477-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MANTOLOKING RD",
            "address_2": "SUITE 11",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087235572",
            "telephone_number": "732-477-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT J LLOYD DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-477-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC05043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.