Organization Active NPI

Scarsdale Pediatric Associates

  • Pediatrics Physician
  • Scarsdale, NY
National Provider Identifier
1518015403
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
183529 Issued in NY
Legal business name
SCARSDALE PEDIATRIC ASSOCIATES
Practice address
2 Overhill Rd
Suite220
Scarsdale, NY 10583-5323
Phone
(914) 725-0800
Fax
(914) 722-4501
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Scott D Bookner, M.D.
Title
Pediatrician
Phone
(914) 725-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 183529 NY Primary

Addresses

Primary practice location

2 Overhill Rd
Suite220
Scarsdale, NY 10583-5323

Mailing address

2 Overhill Rd
Suite220
Scarsdale, NY 10583-5323
Phone (914) 725-0800

Other identifiers 1

IdentifierTypeStateIssuer
1357428MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Scarsdale Pediatric Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2 Overhill Rd
Ste 220
Scarsdale, NY 10583
Phone (914) 639-2700

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1518015403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OVERHILL RD",
            "address_2": "SUITE220",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835323",
            "telephone_number": "914-725-0800",
            "fax_number": "914-722-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OVERHILL RD",
            "address_2": "SUITE220",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835323",
            "telephone_number": "914-725-0800",
            "fax_number": "914-722-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCARSDALE PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "BOOKNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "914-725-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "183529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1357428",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.