NPIMap

Organization Active NPI

Scoli3D, Inc.

  • Orthotist
  • South Amboy, NJ
National Provider Identifier
1649135930
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
Legal business name
SCOLI3D, INC.
Practice address
540 Bordentown Ave
South Amboy, NJ 08879-1546
Phone
(609) 726-5433
NPI assigned
Dec 18, 2025
Last updated
Dec 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Glenn Easton, LCPO, BOCO, BOCPNPI 1467576066
Title
Owner
Phone
(646) 262-1845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X Primary

Addresses

Primary practice location

540 Bordentown Ave
South Amboy, NJ 08879-1546

Mailing address

141 Siloam Rd
Freehold, NJ 07728-8608
Phone (609) 726-5433

National Provider Directory

National Provider Directory
Tax ID family
Scoli3D Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1649135930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SILOAM RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288608",
            "telephone_number": "609-726-5433",
            "fax_number": "844-471-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 BORDENTOWN AVE",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088791546",
            "telephone_number": "609-726-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOLI3D, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "EASTON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-262-1845",
        "authorized_official_credential": "LCPO, BOCO, BOCP"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.