Sciometrix Inc
Organization Active NPI General Practice Physician · Staten Island, NY
NPI 1457065591 · NPPES record last updated Feb 21, 2025
Key facts
- NPI
- 1457065591
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- SCIOMETRIX INC
- Practice address
- 3350 Victory Blvd
Staten Island, NY 10314-6792 - Phone
- (860) 335-5064
- NPI assigned
- Jan 12, 2023
- Organization subpart
- No
Authorized official
- Name
- Abhishek Sharma
- Title
- Owner
- Phone
- (860) 335-5064
Practitioners 174
-
Jose C. Cabassa, M.D.
-
Bineta Diop, NP
-
Behrouz Farahmandpour, D.O.
-
Jorge L. Gardyn, M.D.
-
David J Hersh, M.D.
-
Lamercie Monare Jean-Jacques, M.D., D.O.
-
Yanina Kotlyar, MD
-
Sajjad Mohammad, M.D
-
Himanshu Patel, M.D.
-
Rama B Raju, MD
-
Craig Louise Sheflin, D.O.
-
Elina Yushuvayev, MD
-
Ndubuisi C Achufusi, M.D.
-
Gloria Browne, M.D.
-
John Chuke, M.D.
-
James Sydney Cochran, M.D.
-
Tony Dang, M.D.
-
Amin Elmalah, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (16 enrollments) in NY, FL, GA, LA, TN, TX, NJ, DC, MD, NV, CA, KY, UT, PR, OH, OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230217000369 | NY | Part B Supplier - Clinic/Group Practice | 9335511443 |
Receives reassigned benefits from 21 practitioners Practice locations: Albany, NY |
| O20230307002682 | FL | Part B Supplier - Clinic/Group Practice | 9335511443 |
Receives reassigned benefits from 5 practitioners Practice locations: Jacksonville, FL |
| O20230512002184 | GA | Part B Supplier - Clinic/Group Practice | 9335511443 |
Receives reassigned benefits from 9 practitioners Practice locations: Atlanta, GA |
| O20230524003048 | LA | Part B Supplier - Clinic/Group Practice | 9335511443 |
Receives reassigned benefits from 2 practitioners Practice locations: Baton Rouge, LA; Monroe, LA |
| O20230927000150 | TN | Part B Supplier - Clinic/Group Practice | 9335511443 |
Receives reassigned benefits from 1 practitioner Practice locations: Nashville, TN |
| O20240109002573 | TX | Part B Supplier - Clinic/Group Practice | 9335511443 |
Receives reassigned benefits from 5 practitioners Practice locations: Humble, TX |
| O20240229002300 | NJ | Part B Supplier - Clinic/Group Practice | 9335511443 |
Receives reassigned benefits from 5 practitioners Practice locations: West New York, NJ |
| O20240725001327 | DC | Part B Supplier - Clinic/Group Practice | 9335511443 |
Receives reassigned benefits from 2 practitioners Practice locations: Rockville, MD |
| O20240823000237 | MD | Part B Supplier - Clinic/Group Practice | 9335511443 |
Receives reassigned benefits from 8 practitioners Practice locations: Baltimore, MD |
| O20240826002720 | NV | Part B Supplier - Clinic/Group Practice | 9335511443 |
Receives reassigned benefits from 3 practitioners Practice locations: Las Vegas, NV |
| O20240909003918 | CA | Part B Supplier - Clinic/Group Practice | 9335511443 |
Receives reassigned benefits from 5 practitioners Practice locations: Del Mar, CA |
| O20241120003895 | KY | Part B Supplier - Clinic/Group Practice | 9335511443 |
Receives reassigned benefits from 1 practitioner Practice locations: Louisville, KY |
| O20241209000496 | UT | Part B Supplier - Clinic/Group Practice | 9335511443 |
Receives reassigned benefits from 1 practitioner Practice locations: Salt Lake City, UT |
| O20250211000691 | PR | Part B Supplier - Clinic/Group Practice | 9335511443 |
Receives reassigned benefits from 1 practitioner Practice locations: San Juan, PR |
| O20250915000522 | OH | Part B Supplier - Clinic/Group Practice | 9335511443 |
Receives reassigned benefits from 2 practitioners Practice locations: Columbus, OH |
| O20251029003302 | OK | Part B Supplier - Clinic/Group Practice | 9335511443 |
Receives reassigned benefits from 5 practitioners Practice locations: Enid, OK |
National Provider Directory
Locations
1601-1 N Main St
#3159
Jacksonville, FL 32206
1601-1 N Main St
Unit 3159
Jacksonville, FL 32206
Phone (561) 449-2478
1601 N Main St
Ste 3159
Jacksonville, FL 32206
750 Florida St
Ste 3517
Baton Rouge, LA 70801
1124 Mace Ave
Essex, MD 21221
Phone (410) 391-6996
5600 Kennedy Blvd E
West New York, NJ 07093
1060 Broadway
#100
Menands, NY 12204
1060 Broadway
Ste 100
Menands, NY 12204
Phone (248) 369-3315
3443 Dickerson Pike
Ste 660
Nashville, TN 37207
Phone (248) 636-1884
901 Broadway
Unit 24210
Nashville, TN 37202
Phone (248) 636-1884
700 Smith St
Ste 61070
Houston, TX 77002
Phone (956) 949-0330
700 Smith St
Unit 61070
Houston, TX 77208
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
3350 Victory Blvd
Staten Island, NY 10314-6792
Mailing address
306 S Washington Ave Ste 600
Royal Oak, MI 48067-3837
Phone (860) 335-5064
NPI Registry JSON
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740096000000",
"number": "1457065591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 S WASHINGTON AVE STE 600",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480673837",
"telephone_number": "860-335-5064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146792",
"telephone_number": "860-335-5064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCIOMETRIX INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-12",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A",
"authorized_official_last_name": "SHARMA",
"authorized_official_first_name": "ABHISHEK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-335-5064"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
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- Sandra Sophia Scibetta
- Samantha Scicchigno
- Kathleen Rose Sciortino
- Patricia Sciortino
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All providers in Staten Island, NY · General Practice Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.