Active NPI
Scott Wilson
- Hearing Instrument Specialist
- Medford, NJ
National Provider Identifier
1740307735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 484
- Practice address
- 751 Stokes Rd
Medford, NJ 08055-3002 - Phone
- (609) 654-7496
- Fax
- (609) 953-9346
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 484 | NJ | Primary |
Addresses
Primary practice location
751 Stokes Rd
Medford, NJ 08055-3002
Mailing address
1769 Redwood Dr
Vineland, NJ 08361-6769
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3470601 | Medicaid | NJ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 484 | NJ | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1740307735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1769 REDWOOD DR",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083616769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 STOKES RD",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080553002",
"telephone_number": "609-654-7496",
"fax_number": "609-953-9346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "SCOTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NJ",
"license": "484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3470601",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.