Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Scott Hanwacker, PA

Individual provider Surgical Physician Assistant · NPI 1457531121

Mr. Scott Hanwacker, PA is a Physician Assistant in Freehold, New Jersey. Qualified in 2002, 24 years ago. Practices with Advanced Orthopedic and Sports Medicine Institute PC, a 36-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

301 Professional View Dr
Freehold, NJ 07728-7904
Phone: (732) 720-2555
Fax: (732) 720-2556
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 009211 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 009211-1 (NY)

Record details

NPI number1457531121
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 9, 2007
Last updated in NPPESFebruary 28, 2011
Mailing address301 Professional View Dr, Freehold, NJ 07728-7904

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Advanced Orthopedic And Sports Medicine Institute Pc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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