Individual provider Active NPI

Colin Scott, MD

  • Family Medicine Physician
  • Middletown, NJ
National Provider Identifier
1316576374
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA11786900 Issued in NJ
Practice address
18 Leonardville Rd
Middletown, NJ 07748-2311
Phone
(732) 671-0860
Fax
(732) 671-6467
NPI assigned
Apr 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA11786900 NJ Primary

Addresses

Primary practice location

18 Leonardville Rd
Middletown, NJ 07748-2311

Mailing address

18 Leonardville Rd
Middletown, NJ 07748-2311
Phone (732) 671-0860

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
I20240508002912 NJ Practitioner - Family Practice 8123469160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Medicine Alliance PAGroup PAC ID 2668468919, 41 clinicians

Practice addresses (Care Compare)

1026 Broad St
Unit 18
Shrewsbury, NJ 07702-4380
Phone (732) 460-9840

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11786900NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medicine Alliance PA Family Medicine CurrentSince Feb 27, 2024 Accepting new patients
Ima Urgent Care Past Accepting new patients

Locations

569 River Rd
Fair Haven, NJ 07704
Phone (732) 530-0100

100 Village Ct
Ste 302
Hazlet, NJ 07730
Phone (732) 758-0048

3253 State Route 35
Hazlet, NJ 07730
Phone (732) 888-7646

18 Leonardville Rd
New Monmouth, NJ 07748
Phone (732) 533-5124

363 State Route 36
Port Monmouth, NJ 07758
Phone (732) 471-0400

231 Maple Ave
Red Bank, NJ 07701
Phone (732) 530-1164

1026 Broad St
Unit 18
Shrewsbury, NJ 07702
Phone (732) 460-9840

175 Patterson Ave
Shrewsbury, NJ 07702
Phone (732) 747-4600

35 S Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-1515

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872

Organizations & group practices 2

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 7

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1316576374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LEONARDVILLE RD",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482311",
            "telephone_number": "732-671-0860",
            "fax_number": "732-671-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LEONARDVILLE RD",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482311",
            "telephone_number": "732-671-0860",
            "fax_number": "732-671-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "COLIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA11786900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

Verify at the official NPI Registry.