Organization Active NPI

Scott M Albin DO Medical PLLC

  • Child & Adolescent Psychiatry Physician
  • Roslyn, NY
National Provider Identifier
1083983571
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
255864 Issued in NY
Legal business name
SCOTT M ALBIN DO MEDICAL PLLC
Practice address
153 Main St Ste 1
Roslyn, NY 11576-2250
Phone
(516) 484-0135
Fax
(516) 484-0166
NPI assigned
Dec 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Dr. Scott Myles Albin, DONPI 1134200447
Title
Ceo/Medical Director
Phone
(516) 484-0135

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)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X 255864 NY Primary

Addresses

Primary practice location

153 Main St Ste 1
Roslyn, NY 11576-2250

Mailing address

153 Main St Ste 1
Roslyn, NY 11576-2250
Phone (516) 484-0135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120515000034 NY Part B Supplier - Clinic/Group Practice 5496918294 Receives reassigned benefits from 1 practitioner
Practice locations: Garden City, NY

National Provider Directory

National Provider Directory

Locations

101 7th St
Garden City, NY 11530
Phone (516) 415-2050

153 Main St
Ste 1
Roslyn, NY 11576
Phone (516) 484-0135

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1083983571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 MAIN ST STE 1",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762250",
            "telephone_number": "516-484-0135",
            "fax_number": "516-484-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 MAIN ST STE 1",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762250",
            "telephone_number": "516-484-0135",
            "fax_number": "516-484-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT M ALBIN DO MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "ALBIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MYLES",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-484-0135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "255864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.