MEDICARE: MR. SCOTT LAIFER R.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	850715	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P2163489	OTHER	NJ	OXFORD

General Provider Information

NPI Number	:	1871750968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SCOTT LAIFER R.D.

Provider Business Mailing Address
First Line	:	640 US HIGHWAY 206 UNIT 301
Second Line	:
City	:	HILLSBOROUGH
State	:	NJ
Zip	:	08844-1584
Country	:	US
Telephone Number	:	908-285-1200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 HOUSEL CIR
Second Line	:
City	:	HILLSBOROUGH
State	:	NJ
Zip	:	08844-1558
Country	:	US
Telephone Number	:	908-285-1200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2008
Last Update Date	:	05/05/2026

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Directions to “ MR. SCOTT LAIFER R.D.” Practice Location

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