Individual provider Active NPI

Scott Gander, PT

  • Physical Therapist
  • Basking Ridge, NJ
National Provider Identifier
1831462522
Registry record updated Feb 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
665 Martinsville Rd
Suite 219
Basking Ridge, NJ 07920-4700
Phone
(908) 758-1006
NPI assigned
Feb 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

665 Martinsville Rd
Suite 219
Basking Ridge, NJ 07920-4700

Mailing address

665 Martinsville Rd
Suite 219
Basking Ridge, NJ 07920-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120327000743 NJ Practitioner - Physical Therapist in Private Practice 6709874043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

570 S Ave E
BLDG G Suite C
Cranford, NJ 07016-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021443NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Protouch Physical Therapy Group LLC Physical Therapist CurrentSince Sep 5, 2015 Accepting new patients
Connecticut Soundside Physical Therapy Homecare, PC Past Accepting new patients
Soundside Physical Therapy P.C. Physical Therapist Past Accepting new patients

Locations

570 South Ave E
Bldg C
Cranford, NJ 07016
Phone (655) 690-8325

570 South Ave E
Bldg G
Cranford, NJ 07016
Phone (908) 272-7990

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.

NPI Registry JSON

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

{
    "created_epoch": "1329004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329004800000",
    "number": "1831462522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 MARTINSVILLE RD",
            "address_2": "SUITE 219",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079204700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 MARTINSVILLE RD",
            "address_2": "SUITE 219",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079204700",
            "telephone_number": "908-758-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDER",
        "first_name": "SCOTT",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-12",
        "last_updated": "2012-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basking Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.