Individual provider Active NPI

Jeffrey R Scott, DC

  • Chiropractor
  • Edison, NJ
National Provider Identifier
1912460197
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00749400 Issued in NJ
Practice address
72 Route 27
Edison, NJ 08820-3986
Phone
(908) 334-5544
NPI assigned
Apr 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00749400 NJ Primary

Addresses

Primary practice location

72 Route 27
Edison, NJ 08820-3986

Mailing address

2 Rosewood CT
Bridgewater, NJ 08807-3804
Phone (908) 334-5544

Other practice location 1

311 Spotswood Englishtown Rd
Monroe, NJ 08831-8627
Phone (908) 334-5544

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190613000082 NJ Practitioner - Chiropractic 6901139542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Montclair Upper Cervical Chiropractic LLCGroup PAC ID 6002179652, 2 clinicians

Practice addresses (Care Compare)

155 Prospect Ave
Suite 202
West Orange, NJ 07052-4204
Phone (973) 744-3456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00749400NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Montclair Upper Cervical Chiropractic LLC Chiropractor CurrentSince Dec 11, 2023 Accepting new patients

Locations

155 Prospect Ave
Ste 202
West Orange, NJ 07052
Phone (973) 744-3456

Organizations & group practices 1

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": "1555113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1912460197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ROSEWOOD CT",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073804",
            "telephone_number": "908-334-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 ROUTE 27",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203986",
            "telephone_number": "908-334-5544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Spotswood Englishtown Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NJ",
            "postal_code": "088318627",
            "country_code": "US",
            "telephone_number": "908-334-5544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-13",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00749400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.