Provider Demographics
NPI:1790847028
Name:AFTEL, SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:
Last Name:AFTEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 O ST
Mailing Address - Street 2:
Mailing Address - City:SEASIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08752-1144
Mailing Address - Country:US
Mailing Address - Phone:201-437-9711
Mailing Address - Fax:201-437-9111
Practice Address - Street 1:247 O ST
Practice Address - Street 2:
Practice Address - City:SEASIDE PARK
Practice Address - State:NJ
Practice Address - Zip Code:08752-1144
Practice Address - Country:US
Practice Address - Phone:201-437-9711
Practice Address - Fax:201-437-9111
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA621892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
260033052OtherRAILROAD MEDICARE
G14866Medicare UPIN