Active NPI
Michele Antoinette Scantlebury
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1114018140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 208050
- Practice address
- 212 Berry St
Brooklyn, NY 11249-3922 - Phone
- (718) 599-1202
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 208050 | NY | Primary |
Addresses
Primary practice location
212 Berry St
Brooklyn, NY 11249-3922
Mailing address
272 65TH St Apt 11F
Brooklyn, NY 11220-6512
Phone (646) 724-0150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01807414 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LHHN Medical, P.C. | Pediatrics | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1114018140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 65TH ST APT 11F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112206512",
"telephone_number": "646-724-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 BERRY ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112493922",
"telephone_number": "718-599-1202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCANTLEBURY",
"first_name": "MICHELE",
"middle_name": "ANTOINETTE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "208050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01807414",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.