Individual provider Active NPI

Jeffrey Neil Scavron, M.D.

  • Internal Medicine Physician
  • Plainview, NY
National Provider Identifier
1194814905
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
144151 Issued in NY
Practice address
1181 Old Country Rd
Suite 3
Plainview, NY 11803-5018
Phone
(516) 931-2320
Fax
(516) 931-5734
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

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
Internal Medicine Physician 207R00000X 144151 NY Primary

Addresses

Primary practice location

1181 Old Country Rd
Suite 3
Plainview, NY 11803-5018

Mailing address

1181 Old Country Rd
Suite 3
Plainview, NY 11803-5018
Phone (516) 931-2320

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
144151NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Kisco Medical Group Past Accepting new patients
Prohealth Care Associates, LLP Past Accepting new patients

Organizations & group practices 2

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194814905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 OLD COUNTRY RD",
            "address_2": "SUITE 3",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035018",
            "telephone_number": "516-931-2320",
            "fax_number": "516-931-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 OLD COUNTRY RD",
            "address_2": "SUITE 3",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035018",
            "telephone_number": "516-931-2320",
            "fax_number": "516-931-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAVRON",
        "first_name": "JEFFREY",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "144151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.