Provider Demographics
NPI:1215977137
Name:BENSKY, SCOTT ERIC (DC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:ERIC
Last Name:BENSKY
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 1:380 N MIDLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-5716
Mailing Address - Country:US
Mailing Address - Phone:201-815-0916
Mailing Address - Fax:201-880-7077
Practice Address - Street 1:380 N MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-5716
Practice Address - Country:US
Practice Address - Phone:201-815-0916
Practice Address - Fax:201-880-7078
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00615500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
P3180328OtherOXFORD
U81328Medicare UPIN
P3180328OtherOXFORD