Individual provider Active NPI

Scott Damian Hoagland, ATC,LAT,MS

  • Athletic Trainer
  • Basking Ridge, NJ
National Provider Identifier
1366713216
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
25MT00077500 Issued in NJ
Practice address
268 S Finley Ave
Basking Ridge, NJ 07920-1435
Phone
(908) 204-2585
NPI assigned
Jan 24, 2012
Last updated
Jan 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 25MT00077500 NJ Primary

Addresses

Primary practice location

268 S Finley Ave
Basking Ridge, NJ 07920-1435

Mailing address

162 Kingsbury CT
Nazareth, PA 18064-1121
Phone (610) 746-6468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
25MT00077500NJMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1366713216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 KINGSBURY CT",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180641121",
            "telephone_number": "610-746-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 S FINLEY AVE",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201435",
            "telephone_number": "908-204-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOAGLAND",
        "first_name": "SCOTT",
        "middle_name": "DAMIAN",
        "name_prefix": "Mr.",
        "credential": "ATC,LAT,MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00077500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basking Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.