Individual provider Active NPI

Scot Albert Jauma

  • General Practice Physician
  • Herkimer, NY
National Provider Identifier
1356215784
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
60-P135343-02 Issued in NY
Practice address
104 N Washington St
Herkimer, NY 13350-2028
Phone
(516) 447-5923
NPI assigned
Sep 30, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 60-P135343-02 NY Primary

Addresses

Primary practice location

104 N Washington St
Herkimer, NY 13350-2028

Mailing address

17414 Sorrel Ridge Dr
Spring, TX 77388-5755
Phone (832) 795-4908

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
I20251110001311 NY Practitioner - Internal Medicine 7416447297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Solutions P.C.Group PAC ID 4880904382, 18 clinicians

Practice addresses (Care Compare)

155 Dean St
Brooklyn, NY 11217-2213
Phone (718) 806-1434

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60-P135343-02NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Solutions P.C. Multi-Specialty CurrentSince Aug 15, 2025 Accepting new patients

Locations

155 Dean St
Brooklyn, NY 11217
Phone (718) 694-6700

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

275 W Merrick Rd
Freeport, NY 11520
Phone (516) 377-2946

154 Prospect Ave
Plattsburgh, NY 12901
Phone (518) 563-5440

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1759190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1356215784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17414 SORREL RIDGE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773885755",
            "telephone_number": "832-795-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N WASHINGTON ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133502028",
            "telephone_number": "516-447-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAUMA",
        "first_name": "SCOT",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "60-P135343-02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herkimer, NY

Sources for this page

Verify at the official NPI Registry.