George C Scordilis, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

38MC00175000 Issued in NJ

Practice address

1135 Broad St
Suite 106
Clifton, NJ 07013-3346

Phone

(973) 473-4481

Fax

(973) 473-8852

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• George C Scordilis Professional name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scordilis Family Chiropractic PAGroup PAC ID 9830103555, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Scordilis Family Chiropractic, PA

  • Sports Physician Chiropractor
  • Bloomfield, NJ
  • NPI 1386704559
  Medicare reassignment Care Compare group NPD Authorized official
• Clifton Spine Sports & Rehabilitation

  • Chiropractor
  • Clifton, NJ
  • NPI 1124237052
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1942308671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 BROAD ST",
            "address_2": "SUITE 106",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133346",
            "telephone_number": "973-473-4481",
            "fax_number": "973-473-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 BROAD ST",
            "address_2": "SUITE 106",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133346",
            "telephone_number": "973-473-4481",
            "fax_number": "973-473-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCORDILIS",
        "first_name": "GEORGE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00175000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "SCORDILIS",
            "middle_name": "C",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Daniel C Schwab, LCSW
• Margot Lynn Schwartz, PSYD
• Deanna Lynn Scoca, MD
• Alaina Scordilis, LAC
• Alexandra K Scordilis, OTR/L
• Scott W Gardner DC LLC
• Robert Frank Scott, DDS
• Lori Scudillo
• Michael Scudillo, OTR, CHC
• Sebastian Medical Associates Corporation

• Sports Physician Chiropractor in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.