Individual provider Active NPI

Scott L Busch, DO

  • Otolaryngology/Facial Plastic Surgery Physician
  • Cherry Hill, NJ
National Provider Identifier
1770507337
Registry record updated Dec 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
25MB03778600 Issued in NJ
Practice address
1797 Springdale Rd
Cherry Hill, NJ 08003-2136
Phone
(856) 424-0414
Fax
(855) 863-9361
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 25MB03778600 NJ Primary

Addresses

Primary practice location

1797 Springdale Rd
Cherry Hill, NJ 08003-2136

Mailing address

1797 Springdale Rd
Cherry Hill, NJ 08003-2136
Phone (856) 424-0414

Other practice location 1

777 S White Horse Pike Ste B2
Hammonton, NJ 08037-2029
Phone (609) 567-1234

Other identifiers 1

IdentifierTypeStateIssuer
3392406MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ScottBuschDOPA@123809.advancedmd-direct.com Health Information Exchange (HIE) Scott L Busch DO PA

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
I20050602000165 NJ Practitioner - OtolaryngologyPractitioner - Allergy/ImmunologyPractitioner - Plastic and Reconstructive Surgery 9032152947 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology, Plastic and Reconstructive Surgery
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott L Busch DO PAGroup PAC ID 3072766245, 2 clinicians

Practice addresses (Care Compare)

1797 Springdale Rd
Cherry Hill, NJ 08003-2136

301 Spring Garden Rd
Hammonton, NJ 08037-2516
Phone (609) 561-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince Jan 1, 1989 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Jan 1, 1989 Accepting new patients
Scott L Busch DO PA Otolaryngology/Facial Plastic Surgery CurrentSince Jul 13, 2012 Accepting new patients

Locations

1797 Springdale Rd
Cherry Hill, NJ 08003
Phone (856) 424-0414

301 Spring Garden Rd
Hammonton, NJ 08037
Phone (609) 561-1700

777 S White Horse Pike
Ste B2
Hammonton, NJ 08037
Phone (609) 561-1234

Interoperability endpoints

  • Direct secure messaging: scottbuschdopa@123809.advancedmd-direct.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607731200000",
    "number": "1770507337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 SPRINGDALE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032136",
            "telephone_number": "856-424-0414",
            "fax_number": "856-424-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 SPRINGDALE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032136",
            "telephone_number": "856-424-0414",
            "fax_number": "855-863-9361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 S White Horse Pike Ste B2",
            "address_purpose": "LOCATION",
            "city": "Hammonton",
            "state": "NJ",
            "postal_code": "080372029",
            "country_code": "US",
            "telephone_number": "609-567-1234",
            "fax_number": "855-863-9361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSCH",
        "first_name": "SCOTT",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-12-12",
        "certification_date": "2020-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NJ",
            "license": "25MB03778600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3392406",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ScottBuschDOPA@123809.advancedmd-direct.com",
            "affiliation": "Y",
            "affiliationName": "Scott L Busch DO PA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1797 Springdale Rd",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080032136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.