Active NPI
Scott Jonathan Scudder, DC
- Chiropractor
- Eastampton, NJ
National Provider Identifier
1932317690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00439400
- Practice address
- 2 Northumberland Dr
Eastampton, NJ 08060-3212 - Phone
- (609) 267-8040
- Fax
- (609) 914-0231
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00439400 | NJ | Primary |
Addresses
Primary practice location
2 Northumberland Dr
Eastampton, NJ 08060-3212
Mailing address
2 Northumberland Dr
Eastampton, NJ 08060-3212
Phone (609) 267-8040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5005557 | Other | NJ | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1932317690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 NORTHUMBERLAND DR",
"city": "EASTAMPTON",
"state": "NJ",
"postal_code": "080603212",
"telephone_number": "609-267-8040",
"fax_number": "609-914-0231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 NORTHUMBERLAND DR",
"city": "EASTAMPTON",
"state": "NJ",
"postal_code": "080603212",
"telephone_number": "609-267-8040",
"fax_number": "609-914-0231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCUDDER",
"first_name": "SCOTT",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00439400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5005557",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eastampton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.