Healthcare Provider Details

I. General information

NPI: 1376960484
Provider Name (Legal Business Name): JEAN ELIZABETH SCOFI MD, MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JEAN ELIZABETH SUN

II. Dates (important events)

Enumeration Date: 03/26/2014
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 NJ-37
TOMS RIVER NJ
08755
US

IV. Provider business mailing address

73 ALAMEDA CT
SHREWSBURY NJ
07702-4101
US

V. Phone/Fax

Practice location:
  • Phone: 732-557-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MA12584700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number61316
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number305554
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: