Organization Active NPI

Michael Scanlon D.P.M.

  • Legal Medicine
  • Brooklyn, NY
National Provider Identifier
1023101623
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
N002978 Issued in NY
Legal business name
MICHAEL SCANLON D.P.M.
Practice address
408 Church Avenue
Brooklyn, NY 11218
Phone
(718) 633-3074
NPI assigned
Oct 2, 2006
Last updated
Mar 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael ScanlonNPI 1801849666
Title
Sole Proprieter
Phone
(718) 633-3074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X N002978 NY Primary

Addresses

Primary practice location

408 Church Avenue
Brooklyn, NY 11218

Mailing address

408 Church Avenue
Brooklyn, NY 11218

National Provider Directory

National Provider Directory

Locations

408 Church Ave
Brooklyn, NY 11218
Phone (212) 677-8850

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1023101623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 CHURCH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 CHURCH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11218",
            "telephone_number": "718-633-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SCANLON D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "SCANLON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "718-633-3074"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "N002978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.