Individual provider Active NPI

Scott Michael Schron, D.M.D.

  • General Practice Dentistry
  • Manahawkin, NJ
National Provider Identifier
1700893062
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01594400 Issued in NJ
Practice address
20 N Main St
Manahawkin, NJ 08050-2905
Phone
(609) 978-1212
Fax
(609) 978-1714
NPI assigned
Aug 1, 2006
Last updated
Mar 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI01594400 NJ Primary

Addresses

Primary practice location

20 N Main St
Manahawkin, NJ 08050-2905

Mailing address

20 N Main St
Manahawkin, NJ 08050-2905
Phone (609) 978-1212

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150327000750 NJ Order and Referring Only - DentistPractitioner - Dentist 0042537235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1700893062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N MAIN ST",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502905",
            "telephone_number": "609-978-1212",
            "fax_number": "609-978-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N MAIN ST",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502905",
            "telephone_number": "609-978-1212",
            "fax_number": "609-978-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRON",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01594400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.