Organization Active NPI

Scphc LLC

  • General Practice Physician
  • Somerville, NJ
National Provider Identifier
1326553595
Registry record updated Dec 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SCPHC LLC
Practice address
46 East Main Street
Ste 100
Somerville, NJ 08876
Phone
(609) 606-7000
NPI assigned
Dec 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2017

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

Authorized official

Name
Ed Macqueen
Title
Coo
Phone
(609) 606-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

46 East Main Street
Ste 100
Somerville, NJ 08876

Mailing address

76 W Gilbert St
Red Bank, NJ 07701

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2147366Scphc46 East Main St, Somerville, NJ 08876Certificate of waiverApr 17, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1512777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512777600000",
    "number": "1326553595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 W GILBERT ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 EAST MAIN STREET",
            "address_2": "STE 100",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "08876",
            "telephone_number": "609-606-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCPHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-09",
        "last_updated": "2017-12-09",
        "status": "A",
        "authorized_official_last_name": "MACQUEEN",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "609-606-7000"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.