Scott Barry Schaffer, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI15927 Issued in NJ

Practice address

77 Valley Rd
Clark, NJ 07066-1811

Phone

(732) 382-2715

Fax

(732) 382-8695

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821181660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 VALLEY RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661811",
            "telephone_number": "732-382-2715",
            "fax_number": "732-382-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VALLEY RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661811",
            "telephone_number": "732-382-2715",
            "fax_number": "732-382-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "SCOTT",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI15927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine V. Samuelian, P.T.
• Christina N Sanciangco, DPT
• Lisa Sanfilippo, LPC
• Ashley Santoni, DPT
• Allison Carrie Sceppaguercio, D.M.D.
• Stephanie Scharbach, DO
• Amanda Schindler, LAC
• Kevin Phillip Schnitzer, PT, MPT
• Danielle Schwartz, LSW
• Select Physical Therapy Holdings

• General Practice Dentistry in Clark, NJ
• Providers in Clark, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.