Individual provider Active NPI

Dena Marie Scimone, MS, CAS

  • Specialist
  • East Syracuse, NY
National Provider Identifier
1144574435
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
525234111 Issued in NY
Practice address
5820 Heritage Landing Dr
East Syracuse, NY 13057-9378
Phone
(315) 701-1107
NPI assigned
Nov 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 525234111 NY Primary

Addresses

Primary practice location

5820 Heritage Landing Dr
East Syracuse, NY 13057-9378

Mailing address

1123 Fern Hollow Dr
Liverpool, NY 13088-5486
Phone (315) 729-9445

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
525234111NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1144574435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 FERN HOLLOW DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885486",
            "telephone_number": "315-729-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 HERITAGE LANDING DR",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579378",
            "telephone_number": "315-701-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIMONE",
        "first_name": "DENA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "MS, CAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "525234111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.