Individual provider Active NPI

Scott C Gawlik, DPM

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1043246085
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005585 Issued in NY
Practice address
8407 15TH Ave
Brooklyn, NY 11228-3401
Phone
(718) 921-2156
Fax
(718) 921-9536
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005585 NY Primary

Addresses

Primary practice location

8407 15TH Ave
Brooklyn, NY 11228-3401

Mailing address

8407 15TH Ave
Brooklyn, NY 11228-3401
Phone (718) 921-2156

Other identifiers 1

IdentifierTypeStateIssuer
01977944MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050308000047 NY Practitioner - Podiatry 5799739363 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
Michael Pliskin DPM PCGroup PAC ID 3870676174, 3 clinicians

Practice addresses (Care Compare)

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-4281

75 S Middle Neck Rd
Suite LB
Great Neck, NY 11021-3445
Phone (516) 487-8107

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue328
Removal of skin lesions1-10
Removal of nail tissue94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005585NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Physician Services, PC CurrentSince Nov 28, 2016 Accepting new patients
Laurence D Landau DPM PC Podiatrist CurrentSince Oct 9, 2018 Accepting new patients
Kings Physician Services, PC CurrentSince Nov 28, 2016 Accepting new patients
North Shore-Lij Medical PC CurrentSince Nov 11, 2018 Accepting new patients
Michael Pliskin DPM PC Podiatrist CurrentSince Nov 1, 2018 Accepting new patients

Locations

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

1309 Avenue J
Brooklyn, NY 11230
Phone (718) 677-0101

5923 16th Ave
Brooklyn, NY 11204
Phone (718) 259-6122

1910 Nostrand Ave
Brooklyn, NY 11226
Phone (718) 284-4440

1771 Utica Ave
Brooklyn, NY 11234
Phone (718) 209-0888

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

397 Franklin Ave
Franklin Square, NY 11010
Phone (516) 470-0996

75 S Middle Neck Rd
Ste Lb
Great Neck, NY 11021
Phone (516) 487-8107

300 Community Dr
#4
Manhasset, NY 11030
Phone (516) 562-4281

4333 Merrick Rd
Massapequa, NY 11758
Phone (516) 398-3836

1999 Marcus Ave
North New Hyde Park, NY 11042
Phone (516) 233-3701

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: scottgawlik@nslijmedgr.allscriptsdirect.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1043246085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8407 15TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283401",
            "telephone_number": "718-921-2156",
            "fax_number": "718-921-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8407 15TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283401",
            "telephone_number": "718-921-2156",
            "fax_number": "718-921-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWLIK",
        "first_name": "SCOTT",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01977944",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.