Skope Medical Care P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

211159 Issued in NY

Legal business name

SKOPE MEDICAL CARE P.C.

Practice address

1537 Straight Path
Ste 102
Wyandanch, NY 11798-3414

Phone

(631) 253-0270

NPI assigned

Nov 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Data LongjohnNPI 1215075882

Title

President

Phone

(631) 253-0270

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Data Longjohn, MD

  • Internal Medicine Physician
  • Wyandanch, NY
  • NPI 1215075882
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356420715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 STRAIGHT PATH",
            "address_2": "STE 102",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117983414",
            "telephone_number": "631-253-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 STRAIGHT PATH",
            "address_2": "STE 102",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117983414",
            "telephone_number": "631-253-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKOPE MEDICAL CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONGJOHN",
        "authorized_official_first_name": "DATA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-253-0270",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "211159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01889129",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rajesh Savargaonkar, MD
• Jessica M Saxton, LCSW
• Joel Scott, RN
• Maricia Scott
• Dinesh Sethi, MD
• Althia Smith
• Cachita Kitt Smith
• Shatika Smith, NP
• SMS1 Pharmacy Corp (medical center pharmacy of wyndanch)
• Jill Virginia Spadafora, LMHC-D

• Internal Medicine Physician in Wyandanch, NY
• Providers in Wyandanch, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.