Active NPI
Kenneth Scott
- Specialist
- New York, NY
National Provider Identifier
1255773818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 721496
- Practice address
- 490 2ND Ave Apt 15F
New York, NY 10016-9178 - Phone
- (917) 573-4489
- Fax
- (212) 725-8223
- NPI assigned
- Jul 24, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 721496 | NY | Primary |
Addresses
Primary practice location
490 2ND Ave Apt 15F
New York, NY 10016-9178
Mailing address
490 2ND Ave #15-F
New York, NY 10016
Phone (917) 573-4489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 721496 | Other | NY | STUDENTS WITH DISABILITIES (BIRTH-GRADES 2) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 721496 | NY | MD | Specialist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- New York, NY
- NPI 1609226240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1255773818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 2ND AVE #15-F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "917-573-4489",
"fax_number": "212-725-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 2ND AVE APT 15F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169178",
"telephone_number": "917-573-4489",
"fax_number": "212-725-8223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "KENNETH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-24",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "721496",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STUDENTS WITH DISABILITIES (BIRTH-GRADES 2)",
"identifier": "721496",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.