Benjamin Scopellite, PA-C
Physician Assistant, Surgical in Red Bank, NJ. Individual provider (NPI-1).
NPI number1891364071
StatusActive
Last updated in NPPESApr 15, 2025
Details
- NPI
- 1891364071
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Scopellite
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2021
- Certification date
- Apr 15, 2025
- Last updated
- Apr 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | NJ | Yes |
| 363A00000X | Physician Assistant | 25MP00628500 | NJ |
Practice location
80 Oak Hill RdRed Bank, NJ 07701-5727
Phone 732-741-2313
Mailing address
80 Oak Hill RdRed Bank, NJ 07701-5727
Phone 732-741-2313
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All 18 Surgical Physician Assistant providers in Red Bank · All 1,651 providers in Red Bank
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