Individual provider Active NPI

Michael Vincent Scala Jr., PA

  • Medical Physician Assistant
  • Islip, NY
National Provider Identifier
1053829325
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
32 Cedar Avenue Ext
Islip, NY 11751-4616
Phone
(516) 625-1014
NPI assigned
Jan 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

32 Cedar Avenue Ext
Islip, NY 11751-4616

Mailing address

3781 Cranberry LN
Shrub Oak, NY 10588-1045
Phone (914) 424-9771

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180808001489 NY Practitioner - Physician Assistant 1557619566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners in Critical Care LLPGroup PAC ID 9234239823, 29 clinicians

Practice addresses (Care Compare)

101 Saint Andrews LN
Glen Cove, NY 11542-2254
Phone (516) 625-1014

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (516) 625-1014

221 Jericho Tpke
Syosset, NY 11791-4515
Phone (516) 625-1014

4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (516) 579-6000

888 Old Country Rd
Plainview, NY 11803-4914
Phone (516) 625-1014

900 Franklin Ave
Valley Stream, NY 11580-2145
Phone (516) 625-1014

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
021827NYMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: mscala69689@northwell.direct-ci.com

Organizations & group practices 1

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": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1053829325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3781 CRANBERRY LN",
            "city": "SHRUB OAK",
            "state": "NY",
            "postal_code": "105881045",
            "telephone_number": "914-424-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CEDAR AVENUE EXT",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117514616",
            "telephone_number": "516-625-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALA",
        "first_name": "MICHAEL",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip, NY

Sources for this page

Verify at the official NPI Registry.