Marcella Scaccia Physician PLLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

241739 Issued in NY

Legal business name

MARCELLA SCACCIA PHYSICIAN PLLC

Doing business as

Total Wellness & Healthy Aging

Practice address

2540 Shore Blvd
12B
Astoria, NY 11102-3941

Phone

(386) 871-4515

Fax

(386) 767-9085

NPI assigned

Jul 18, 2011

Organization subpart

No

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

Authorized official

Name

Marcella Scaccia, M.D.NPI 1669689311

Title

Ceo

Phone

(386) 871-0675

Specialties & licenses 1

Addresses

Other names 1

• Total Wellness & Healthy Aging Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcella Scaccia, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Daytona Beach Shores, FL
  • NPI 1669689311

  Geriatric Medicine

  NPD Authorized official

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1326336959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 SEA OATS CIR",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "321185938",
            "telephone_number": "386-871-0675",
            "fax_number": "386-767-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 SHORE BLVD",
            "address_2": "12B",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023941",
            "telephone_number": "386-871-4515",
            "fax_number": "386-767-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELLA SCACCIA PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "SCACCIA",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-871-0675",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "241739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Wellness & Healthy Aging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Manuelian, DDS
• Hay Mar
• Kelly Courtland Mara, LMSW
• Riley Marcano, LMSW
• Eleni Marcantonis, PSY.D.
• Robert Marchini
• Steve Ayo Marcus, LMSW
• Maria Meyer Licensed Clinical Social Worker PLLC
• Sam Michael Mariani, LMT
• Marianne Hedl, Otr, CHT, PLLC

• Geriatric Medicine (Family Medicine) Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Geriatric Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.