Individual provider Active NPI

Scott Andrew Dinesen, D.O.

  • Gynecology Physician
  • Bronx, NY
National Provider Identifier
1508858614
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
327629 Issued in NY
Practice address
2015 Grand Concourse
Bronx, NY 10453-4303
Phone
(718) 583-7736
Fax
(718) 537-6180
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS007838L PA
Obstetrics & Gynecology Physician 207V00000X OS007938L PA
Gynecology Physician 207VG0400X 327629 NY Primary

Addresses

Primary practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Mailing address

2626 Halperin Ave
Bronx, NY 10461-2631
Phone (718) 618-0401

Other identifiers 1

IdentifierTypeStateIssuer
0015164050005MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drdinesen@fxxmed.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040212000099 PA Practitioner - Obstetrics/Gynecology 4789578402 Reassigns benefits to 1 organization
I20240710004735 NY Practitioner - Obstetrics/Gynecology 4789578402 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Nova Southeastern College of Osteo Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shakespeare Operating LLCGroup PAC ID 0840604310, 144 clinicians
Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians

Practice addresses (Care Compare)

1250 Shakespeare Ave
Bronx, NY 10452-3012
Phone (646) 350-1633

2015 Grand Ave
FL 1
Bronx, NY 10453-4611
Phone (718) 583-7736

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS007838LPAMDObstetrics & Gynecology Physician
OS007938LPAMDObstetrics & Gynecology Physician
327629NYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Feb 3, 2020 Accepting new patients
House Call Medical Services of Pennsylvania PLLC Current Accepting new patients
Essen Medical Associates, PC CurrentSince Apr 28, 2024 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Apr 28, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Apr 28, 2024 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Shakespeare Operating LLC CurrentSince Apr 28, 2024 Accepting new patients
Essen Medical Associates,PC CurrentSince Apr 28, 2024 Accepting new patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology PastSince Aug 29, 2021 Accepting new patients

Locations

5235 Broadway
Ste C
Bronx, NY 10463
Phone (646) 350-1633

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

3991 White Plains Rd
Ste C
Bronx, NY 10466
Phone (718) 925-3454

2445 Arthur Ave
Bronx, NY 10458
Phone (718) 220-3434

1532 Grand Concourse
Bronx, NY 10457
Phone (718) 689-6847

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

599 W State St
Ste 301
Doylestown, PA 18901
Phone (215) 348-7195

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: scott.dinesen@ema.eclinicaldirectplus.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1508858614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 HALPERIN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612631",
            "telephone_number": "718-618-0401",
            "fax_number": "347-479-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-583-7736",
            "fax_number": "718-537-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINESEN",
        "first_name": "SCOTT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS007838L",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS007938L",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "327629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015164050005",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drdinesen@fxxmed.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3335 Byron Dr",
            "city": "Doylestown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189026513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.