Scott A. Mayerberger, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

198877 Issued in NY

Practice address

1490 William Floyd Pkwy Ste 105
Shirley, NY 11967-1820

Phone

(631) 475-7700

Fax

(005) 573-1408

NPI assigned

Sep 25, 2006

Last updated

Apr 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pain ManagementAlso: Addiction Medicine, Anesthesiology

Education

Hahnemann University College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Scott a. Mayerberger M.D.,P.C.

  • Pain Medicine (Anesthesiology) Physician
  • Patchogue, NY
  • NPI 1316323884
  Medicare reassignment Authorized official
• Brookhaven Anesthesia Associates

  • Anesthesiology Physician
  • Patchogue, NY
  • NPI 1356795074
  Authorized official Same address or phone
• Medical Marijuana Consulting PC

  • Pain Medicine (Anesthesiology) Physician
  • Patchogue, NY
  • NPI 1770938698
  Authorized official Same address or phone
• Theraputic Medical Infusion PC

  • Pain Medicine (Anesthesiology) Physician
  • Patchogue, NY
  • NPI 1063867976
  Authorized official Same address or phone
• Brookhaven Anesthesia Associates, LLP

  • Anesthesiology Physician
  • Patchogue, NY
  • NPI 1164599965
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1073614145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 WILLIAM FLOYD PKWY STE 105",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119671820",
            "telephone_number": "631-475-7700",
            "fax_number": "800-557-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 WILLIAM FLOYD PKWY STE 105",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119671820",
            "telephone_number": "631-475-7700",
            "fax_number": "005-573-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYERBERGER",
        "first_name": "SCOTT",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "198877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01694480",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gregory Steven Masso
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• Renuka D Mazza
• Natasha Rose McGlynn, LPN
• Kerry McKendrick
• Jennifer Jill McKevitt, LPN
• Patrick Dominick McStay

• Pain Medicine (Anesthesiology) Physician in Shirley, NY
• Providers in Shirley, NY by specialty
• Pain Medicine (Anesthesiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.