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

Scott Patrick Ebner, PA-C

Individual provider Medical Physician Assistant · NPI 1609743459

Scott Patrick Ebner, PA-C is a Physician Assistant in Stratford, New Jersey. Qualified in 2025, 1 year ago. Practices with Kennedy Medical Group Practice, PC, a 414-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

18 E Laurel Rd
Stratford, NJ 08084-1327
Phone: (856) 346-6000
Show map & directions

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

Additional practice locations (1)

  • 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 — (856) 488-6500

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00980500 (NJ)

Record details

NPI number1609743459
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 17, 2025
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026
Mailing address107 Cedar Rd, Pittsgrove, NJ 08318-3830

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Kennedy Medical Group Practice, P.C. — 414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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