Mary Jean Scourboutakos, MD, PHD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

335325 Issued in NY

Practice address

731 White Plains Rd
Bronx, NY 10473-2631

Phone

(718) 589-8775

Fax

(845) 633-5766

NPI assigned

Apr 13, 2023

Last updated

Jul 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Family Practice

Education

University of Toronto, Faculty of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• The Institute for Family Health

  dba Institute for Family Health

  • Family Medicine Physician
  • New York, NY
  • NPI 1295729408
  Medicare reassignment Care Compare group NPD
• The Institute for Family Health

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1053685289
  NPD
• The Institute for Family Health

  • Family Medicine Physician
  • New York, NY
  • NPI 1972877017
  NPD

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1184310104",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "107 HOMESTEAD RD.",
            "city": "TORONTO",
            "state": "ONTARIO",
            "postal_code": "M1E 3S1"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732631",
            "telephone_number": "718-589-8775",
            "fax_number": "845-633-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOURBOUTAKOS",
        "first_name": "MARY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "335325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Scott, VOC COUNSELOR
• Zilla Scott
• Andrea Scotti, MD
• Joseph Charles Scotti, D.M.D.
• Charlene Carolyn Scotton, NP
• Katharine Scozzari, PA-C
• Screen Medical Imaging PC
• Scriptrx Inc (Scriptx Pharmacy)
• Gena Scrivano, M.S., CCC-SLP
• Christina Scumaci, MSW

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.