Active NPI
Richard Scriven, M.D.
- Pediatric Surgery Physician
- East Setauket, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- Practice address
- 37 Research Way
East Setauket, NY 11733 - Phone
- (631) 444-4545
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | NY | Primary |
Addresses
Primary practice location
37 Research Way
East Setauket, NY 11733
Mailing address
P.O. Box 1559
Stony Brook, NY 11790
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01961893 | Medicaid | NY | |
| 206H61 | Other | NY | EMPIRE BC.BS |
| 7203094 | Other | NY | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 W Montauk Hwy
Life Care Ctr
Hampton Bays, NY 11946
Phone (631) 723-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Surgical Associates, University Faculty Practice Corporati | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Past | Accepting new patients | |
| Stony Brook Anaesthesiology, University Faculty Practice Corporation | Past | Accepting new patients | |
| Stony Brook Children'S Service, University Faculty Practice Corporatio | Past | Accepting new patients | |
| University Hospital at Stony Brook | Past | Accepting new patients |
Locations
600 Main St
Ste B
Center Moriches, NY 11934
Phone (631) 444-7875
500 Commack Rd
Ste 102A
Commack, NY 11725
Phone (631) 638-0130
225 W Montauk Hwy
Hampton Bays, NY 11946
Phone (631) 723-2316
4 Smith Haven Mall
Ste 101
Lake Grove, NY 11755
Phone (631) 444-7337
37 Research Way
Setauket, NY 11733
Phone (631) 444-4121
100 Nicolls Rd
Rm 54
Stony Brook, NY 11794
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- richard.scriven@direct.stonybrookmedicine.edu
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Stony Brook, NY
- NPI 1063468536
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Anesthesiology Physician
- Stony Brook, NY
- NPI 1801841184
-
- Pediatrics Physician
- Stony Brook, NY
- NPI 1083660575
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1013936301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1559",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "11790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 RESEARCH WAY",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "11733",
"telephone_number": "631-444-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCRIVEN",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01961893",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC.BS",
"identifier": "206H61",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7203094",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.