Individual provider Active NPI

Benjamin Scopellite, PA-C

  • Surgical Physician Assistant
  • Red Bank, NJ
National Provider Identifier
1891364071
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
80 Oak Hill Rd
Red Bank, NJ 07701-5727
Phone
(732) 741-2313
NPI assigned
Jun 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00628500 NJ
Surgical Physician Assistant 363AS0400X NJ Primary

Addresses

Primary practice location

80 Oak Hill Rd
Red Bank, NJ 07701-5727

Mailing address

80 Oak Hill Rd
Red Bank, NJ 07701-5727
Phone (732) 741-2313

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210831003162 NJ Practitioner - Physician Assistant 0244636124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

80 Oak Hill Rd
Red Bank, NJ 07701-5727
Phone 7327412313167

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.28 of 100Reported as group
Quality
43.41
Promoting interoperability
87
Improvement activities
40
Cost
65.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00628500NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Sports Medicine and Rehabilitation Center, LLC CurrentSince Aug 8, 2022 Accepting new patients
Advanced Orthopedic and Sports Medicine Institute PC CurrentSince Aug 1, 2021 Accepting new patients

Locations

2-12 Corbett Way
Eatontown, NJ 07724
Phone (516) 815-6212

301 Professional View Dr
Freehold, NJ 07728
Phone (732) 616-6738

735 N Beers St
Ste 102
Holmdel, NJ 07733
Phone (732) 741-2313

25 Kilmer Dr
Ste 104
Morganville, NJ 07751
Phone (732) 617-9111

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

Interoperability endpoints

  • Direct secure messaging: bscopellite425461@direct.ahsys.org
  • Direct secure messaging: benjamin.scopellite@ort.eclinicaldirectplus.com

Organizations & group practices 2

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 4

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1891364071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 OAK HILL RD",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015727",
            "telephone_number": "732-741-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 OAK HILL RD",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015727",
            "telephone_number": "732-741-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOPELLITE",
        "first_name": "BENJAMIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00628500",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.