Individual provider Active NPI

Christopher Matthew Scovell, D.O.

  • Psychiatry Physician
  • Hackensack, NJ
National Provider Identifier
1609260678
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MB10852600 Issued in NJ
Practice address
211 Essex St Ste 204
Hackensack, NJ 07601-3245
Phone
(201) 487-1240
NPI assigned
Mar 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MB10852600 NJ Primary

Addresses

Primary practice location

211 Essex St Ste 204
Hackensack, NJ 07601-3245

Mailing address

282 11TH Ave Apt 2701
New York, NY 10001-1278
Phone (419) 308-0587

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
I20200831000029 NJ Practitioner - Psychiatry 5294034211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Psychiatric Associates LLCGroup PAC ID 8628163284, 9 clinicians

Practice addresses (Care Compare)

256 Columbia Tpke
Suite 209
Florham Park, NJ 07932-1238
Phone (201) 487-1240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB10852600NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Associates, LLC Psychiatry CurrentSince Aug 10, 2020 Accepting new patients
Hackensack Psychiatric Group LLC Psychiatry PastSince Aug 10, 2020 Accepting new patients

Locations

256 Columbia Tpke
Ste 209
Florham Park, NJ 07932
Phone (201) 487-1240

65 Harristown Rd
Ste 101
Glen Rock, NJ 07452
Phone (201) 487-1240

65 Harristown Rd
Ste 1
Glen Rock, NJ 07452

211 Essex St
Ste 204
Hackensack, NJ 07601
Phone (201) 487-1240

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.

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1609260678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 11TH AVE APT 2701",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011278",
            "telephone_number": "419-308-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ESSEX ST STE 204",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013245",
            "telephone_number": "201-487-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOVELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MB10852600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.