Provider Demographics
NPI:1033694286
Name:DR. J SCOTT HENNING, DO LLC
Entity Type:Organization
Organization Name:DR. J SCOTT HENNING, DO LLC
Other - Org Name:HENNING DERMATOLOGY GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HENNING
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:908-824-0606
Mailing Address - Street 1:150 N FINLEY AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-1686
Mailing Address - Country:US
Mailing Address - Phone:908-824-0606
Mailing Address - Fax:908-824-0612
Practice Address - Street 1:150 N FINLEY AVE STE 205
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-1686
Practice Address - Country:US
Practice Address - Phone:908-824-0606
Practice Address - Fax:908-824-0612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty