Active NPI
Michael Scanlon D.P.M.
- Legal Medicine
- Brooklyn, NY
National Provider Identifier
1023101623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- N002978
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Scanlon
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Legal Medicine
- New York, NY
- NPI 1801849666
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.