Individual provider Active NPI

Michele A Scrime, D.M.D.

  • Endodontics
  • Ocean, NJ
National Provider Identifier
1881806685
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DI21135 Issued in NJ
Practice address
1300 State Route 35
Plaza One
Ocean, NJ 07712-3537
Phone
(732) 531-4411
Fax
(732) 531-3350
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DI21135 NJ Primary

Addresses

Primary practice location

1300 State Route 35
Plaza One
Ocean, NJ 07712-3537

Mailing address

1300 State Route 35
Plaza One
Ocean, NJ 07712-3537
Phone (732) 531-4411

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
I20150715000849 NJ Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7416260781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI21135NJMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881806685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 STATE ROUTE 35",
            "address_2": "PLAZA ONE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123537",
            "telephone_number": "732-531-4411",
            "fax_number": "732-531-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 STATE ROUTE 35",
            "address_2": "PLAZA ONE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123537",
            "telephone_number": "732-531-4411",
            "fax_number": "732-531-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIME",
        "first_name": "MICHELE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "DI21135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.