Individual provider Active NPI

Scott Michael Parrotta, DO

  • Family Medicine Physician
  • Wynantskill, NY
National Provider Identifier
1487034500
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
291495 Issued in NY
Practice address
9 W Sand Lake Rd
Wynantskill, NY 12198-7954
Phone
(518) 283-1974
Fax
(518) 283-0811
NPI assigned
Jun 3, 2015
Last updated
Jul 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 291495 NY Primary

Addresses

Primary practice location

9 W Sand Lake Rd
Wynantskill, NY 12198-7954

Mailing address

9 W Sand Lake Rd
Wynantskill, NY 12198-7954
Phone (518) 283-1974

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
I20180627001369 NY Practitioner - Family Practice 9133475544 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Oct 1, 2018 Accepting new patients
New York University CurrentSince Oct 1, 2018 Accepting new patients

Locations

1000 Franklin Ave
Ste 300
Garden City, NY 11530
Phone (516) 248-6868

340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1487034500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 W SAND LAKE RD",
            "city": "WYNANTSKILL",
            "state": "NY",
            "postal_code": "121987954",
            "telephone_number": "518-283-1974",
            "fax_number": "518-283-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 W SAND LAKE RD",
            "city": "WYNANTSKILL",
            "state": "NY",
            "postal_code": "121987954",
            "telephone_number": "518-283-1974",
            "fax_number": "518-283-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARROTTA",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "291495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynantskill, NY

Sources for this page

Verify at the official NPI Registry.