Scott Vincent Smalley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

AP 2434 Issued in MA

Practice address

17 Germania St
Unit 1
Jamaica Plain, MA 02130-2342

Phone

(617) 777-0687

NPI assigned

Oct 30, 2007

Last updated

Oct 30, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1023297793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 GERMANIA ST",
            "address_2": "UNIT 1",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302342",
            "telephone_number": "617-777-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 GERMANIA ST",
            "address_2": "UNIT 1",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302342",
            "telephone_number": "617-777-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "SCOTT",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "AP 2434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Sisson, MD
• Maile Sit
• Lina Skiba, MA
• Sleep Health Centers LLC
• Travis Michael Slesinski, PSYD
• Allen L Smith, MD MS
• Benjamin N Smith, M.D.
• Brianna Smith
• Clyde L Smith, MD
• Dale Addae Smith, M. ED

• Physician Assistant in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.