Individual provider Active NPI

Jaime Lynn Dixon, PT, DPT, L.AC

  • Acupuncturist
  • Cranford, NJ
National Provider Identifier
1962743807
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00141500 Issued in NJ
Practice address
29 Alden St
Cranford, NJ 07016-2156
Phone
(908) 276-0294
Fax
(908) 276-0753
NPI assigned
Mar 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01341100 NJ
Acupuncturist 171100000X 25MZ00141500 NJ Primary

Addresses

Primary practice location

29 Alden St
Cranford, NJ 07016-2156

Mailing address

29 Alden St
Cranford, NJ 07016-2156
Phone (908) 276-0294

Other names 1

  • Jaime Lynn Scott Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140516000749 NJ Practitioner - Physical Therapist in Private Practice 9436372604 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MZ00141500NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Rehabilitation, LLC Physical Therapist CurrentSince Mar 1, 2013 Accepting new patients
Parabolic Performance & Rehab, LLC CurrentSince Sep 15, 2014 Accepting new patients

Locations

60 Walnut Ave
Ste 180
Clark, NJ 07066
Phone (732) 340-1012

4 Walter E Foran Blvd
Flemington, NJ 08822
Phone 9082370000 ext. 90823

4 Walter E Foran Blvd
Ste 203
Flemington, NJ 08822
Phone (732) 340-1012

15 Bloomfield Ave
Montclair, NJ 07042
Phone (973) 477-2770

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.

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1962743807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ALDEN ST",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162156",
            "telephone_number": "908-276-0294",
            "fax_number": "908-276-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 ALDEN ST",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162156",
            "telephone_number": "908-276-0294",
            "fax_number": "908-276-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JAIME",
        "middle_name": "LYNN",
        "credential": "PT, DPT, L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01341100",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00141500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "SCOTT",
            "middle_name": "LYNN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cranford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.