Provider Demographics
NPI:1104901479
Name:SCAFIDI, STEVEN JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JOSEPH
Last Name:SCAFIDI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 TUCKERTON RD STE A
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-2653
Mailing Address - Country:US
Mailing Address - Phone:856-983-8588
Mailing Address - Fax:856-983-8628
Practice Address - Street 1:951 TUCKERTON RD STE A
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2653
Practice Address - Country:US
Practice Address - Phone:856-983-8588
Practice Address - Fax:856-983-8628
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00346600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3813801Medicaid
NJ614612UKYMedicare ID - Type Unspecified
NJ3813801Medicaid