Individual provider Active NPI

John Peter Scian, MD

  • Obstetrics & Gynecology Physician
  • Pompton Lakes, NJ
National Provider Identifier
1306807854
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA45335 Issued in NJ
Practice address
16 Pompton Ave
Pompton Lakes, NJ 07442-1895
Phone
(973) 831-6866
Fax
(973) 831-9639
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA45335 NJ Primary

Addresses

Primary practice location

16 Pompton Ave
Pompton Lakes, NJ 07442-1895

Mailing address

16 Pompton Ave
Pompton Lakes, NJ 07442
Phone (973) 831-6866

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.scian@direct.lifelinemedicalassoc.nextgenshare.com

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050720000131 NJ Practitioner - Obstetrics/Gynecology 4688601818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers New Jersey Medical School, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

16 Pompton Ave
Pompton Lakes, NJ 07442-1895
Phone (973) 831-6866

Hospital & facility affiliations

  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA45335NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Associates, LLC Obstetrics & Gynecology CurrentSince Aug 1, 2005 Accepting new patients

Locations

16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935

99 Cherry Hill Rd
Ste 220
Parsippany, NJ 07054
Phone (973) 316-6763

16 Pompton Ave
Pompton Lakes, NJ 07442
Phone (973) 831-6866

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: john.scian.1@27010.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1306807854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 POMPTON AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "07442",
            "telephone_number": "973-831-6866",
            "fax_number": "973-831-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POMPTON AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421895",
            "telephone_number": "973-831-6866",
            "fax_number": "973-831-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIAN",
        "first_name": "JOHN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA45335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.scian@direct.lifelinemedicalassoc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "16 Pompton Ave",
            "city": "Pompton Lakes",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074421895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pompton Lakes, NJ

Sources for this page

Verify at the official NPI Registry.