Organization Active NPI

Kenneth P. Scileppi, MD, PC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1306982558
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KENNETH P. SCILEPPI, MD, PC
Practice address
1550 York Ave
New York, NY 10028-5970
Phone
(212) 249-6218
Fax
(212) 628-7059
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Kenneth P Scileppi, M.D.
Title
President
Phone
(212) 249-6218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X NY Primary

Addresses

Primary practice location

1550 York Ave
New York, NY 10028-5970

Mailing address

1550 York Ave
New York, NY 10028-5970
Phone (212) 249-6218

Other identifiers 1

IdentifierTypeStateIssuer
W34501OtherNYEMPIRE BLUE CROSS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1306982558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100285970",
            "telephone_number": "212-249-6218",
            "fax_number": "212-628-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100285970",
            "telephone_number": "212-249-6218",
            "fax_number": "212-628-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH P. SCILEPPI, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "SCILEPPI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-249-6218",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "W34501",
            "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 Sep 10, 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.