Individual provider Active NPI

Sharrill Jeannette Scolaro, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1518111475
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
012746 Issued in NY
Practice address
200 W 57TH St Ste 307
New York, NY 10019-3211
Phone
(917) 410-6905
Fax
(646) 878-6095
NPI assigned
Nov 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 012746 NY Primary

Addresses

Primary practice location

200 W 57TH St Ste 307
New York, NY 10019-3211

Mailing address

200 W 57TH St Ste 307
New York, NY 10019-3211
Phone (917) 410-6905

Other practice location 1

800 Carter St
Rochester, NY 14621-2604
Phone (585) 922-4173

Other practice location 2

110 Central Ave
Owego, NY 13827
Phone (607) 687-5333

Other identifiers 1

IdentifierTypeStateIssuer
03183795MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Walk in GYN Care, PC CurrentSince Mar 20, 2025 Accepting new patients
Chenango Memorial Hospital, Inc. Physician Assistant Past Accepting new patients
Tioga Opportunities, Inc PastSince Sep 7, 2016 Accepting new patients
Walk in Womens Gynecology PLLC PastSince Mar 20, 2025 Accepting new patients

Locations

200 W 57th St
Ste 608
New York, NY 10019
Phone (212) 581-4488

200 W 57th St
Ste 307
New York, NY 10019
Phone (917) 410-6905

Organizations & group practices 4

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": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1518111475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST STE 307",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "917-410-6905",
            "fax_number": "646-878-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST STE 307",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "917-410-6905",
            "fax_number": "646-878-6095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Carter St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146212604",
            "country_code": "US",
            "telephone_number": "585-922-4173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Owego",
            "state": "NY",
            "postal_code": "13827",
            "country_code": "US",
            "telephone_number": "607-687-5333",
            "fax_number": "607-687-4899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOLARO",
        "first_name": "SHARRILL",
        "middle_name": "JEANNETTE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03183795",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.