Individual provider Active NPI

Scott Kenneth Feryo, DMD

  • General Practice Dentistry
  • Syosset, NY
National Provider Identifier
1104982800
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45372 Issued in NY
Practice address
100 S Oyster Bay Rd
Syosset, NY 11791-5827
Phone
(516) 921-0372
Fax
(516) 921-1152
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45372 NY Primary

Addresses

Primary practice location

100 S Oyster Bay Rd
Syosset, NY 11791-5827

Mailing address

119 6TH St
Garden City, NY 11530-5800
Phone (516) 833-6691

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
I20150709000379 NY Order and Referring Only - DentistPractitioner - Dentist 4183936859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45372NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104982800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 6TH ST",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305800",
            "telephone_number": "516-833-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S OYSTER BAY RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915827",
            "telephone_number": "516-921-0372",
            "fax_number": "516-921-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERYO",
        "first_name": "SCOTT",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "45372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.