Scott Peter Boutsikaris
Counselor, School in Edison, NJ. Individual provider (NPI-1).
NPI number1194397463
StatusActive
Last updated in NPPESJul 15, 2021
Details
- NPI
- 1194397463
- Entity type
- Individual (NPI-1)
- Name
- Scott Peter Boutsikaris
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2021
- Certification date
- Jul 15, 2021
- Last updated
- Jul 15, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YS0200X | Counselor, School | – | – | Yes |
Practice location
113 Linda LnEdison, NJ 08820-4507
Phone 732-887-9329
Mailing address
113 Linda LnEdison, NJ 08820-4507
Phone 732-887-9329
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