Individual provider Active NPI

Scott J Sherman, MD

  • Specialist
  • Roslyn, NY
National Provider Identifier
1215968581
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
143628 Issued in NY
Practice address
100 Port Washington Blvd
Roslyn, NY 11576-1353
Phone
(516) 562-6511
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 143628 NY Primary

Addresses

Primary practice location

100 Port Washington Blvd
Roslyn, NY 11576-1353

Mailing address

100 Port Washington Blvd
Roslyn, NY 11576-1353
Phone (516) 562-6511

Other identifiers 1

IdentifierTypeStateIssuer
00795340MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040322000517 NY Practitioner - Diagnostic Radiology 5698666568 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northwestern University Feinberg Medical School, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
St Francis Cardiac Prevention Services PCGroup PAC ID 4183515836, 60 clinicians
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

1000 N Village Ave
Rockville Center, NY 11570-1000
Phone (718) 223-4685

2112 Middle Country Rd
Centereach, NY 11720-3519
Phone (631) 468-6900

2200 Northern Blvd
Greenvale, NY 11548-1220

500 Commack Rd
Unit 150C
Commack, NY 11725-5009
Phone (934) 223-7171

510 Hicksville Rd
Massapequa, NY 11758-1203
Phone (516) 795-2626

Hospital & facility affiliations

  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332
  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
143628NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, PC CurrentSince Nov 1, 2018 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
CHS Physician Partners, P.C CurrentSince Nov 1, 2018 Accepting new patients
Empire State Radiology P C CurrentSince Jun 1, 2020 Accepting new patients
St. Francis Cardiac Prevention Services PC CurrentSince Feb 1, 2015 Accepting new patients
Doshi Diagnostic Imaging Services PC Past Accepting new patients
Webmasters Radiology, PC Past Accepting new patients

Locations

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

2200 Northern Blvd
Ste 100C
Greenvale, NY 11548
Phone (516) 325-7400

2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910

510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626

4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

992 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-2910

1000 N Village Ave
#13202
Rockville Ctr, NY 11570

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Networks

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

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1215968581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761353",
            "telephone_number": "516-562-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761353",
            "telephone_number": "516-562-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "SCOTT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "143628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00795340",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

Verify at the official NPI Registry.