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DR. SCOTT H SHACKNOW D.M.D.
NPI 1376633677
Dentist - General Practice in East Rutherford, NJ

Active since October 15, 2006PECOS Enrolled
196 PATERSON AVE, EAST RUTHERFORD, NJ 07073(201) 438-8717(201) 438-2514 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Scott H Shacknow D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SCOTT H SHACKNOW D.M.D. (NPI 1376633677) is an individual general practice provider in East Rutherford, New Jersey, licensed in New Jersey (DI15424) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376633677
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SCOTT H SHACKNOWCredential: D.M.D.
Location Address196 PATERSON AVEEast Rutherford, NJ 07073-1841
Mailing Address196 Paterson AveEast Rutherford, NJ 07073-1841 · (201) 438-8717 · Fax (201) 438-2514
Phone(201) 438-8717
Fax(201) 438-2514
Sole ProprietorYes
Enumeration DateOctober 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376633677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NJ · DI15424
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

196 PATERSON AVE, East Rutherford, NJ 07073
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Scott H Shacknow D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM C. FRUCHTMAN OD PA
Optometrist
196 PATERSON AVE
EAST RUTHERFORD, NJ 07073
Bergen County (201) 728-9222
WILLIAM C. FRUCHTMAN OD PA
Optometrist
196 PATERSON AVE
EAST RUTHERFORD, NJ 07073
Bergen County (201) 728-9222
DR. WILLIAM CHARLES FRUCHTMAN O.D.
Optometrist
196 PATERSON AVE
EAST RUTHERFORD, NJ 07073
Bergen County (201) 728-9222
DR. YOUSTINA M GERGES DPT
Physical Therapist
196 PATERSON AVE
EAST RUTHERFORD, NJ 07073
Bergen County (201) 899-1166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Shacknow's NPI number?

The NPI number for Scott Shacknow is 1376633677. It was assigned to this individual provider in the NPPES registry on October 15, 2006.

Where is Scott Shacknow located?

Scott Shacknow practices at 196 Paterson Ave, East Rutherford, NJ 07073. The listed phone number is (201) 438-8717.

What is Scott Shacknow's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Scott Shacknow enrolled in Medicare?

Yes. Scott Shacknow is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Scott Shacknow was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.