Dewitt Randolph Scott, RPA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000779 Issued in NY

Practice address

5A Ethan Allen Dr
Suffern, NY 10901-1802

Phone

(845) 548-6567

NPI assigned

Sep 11, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1528217767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8931 161ST ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326102",
            "telephone_number": "845-548-6567",
            "fax_number": "212-526-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5A ETHAN ALLEN DR",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109011802",
            "telephone_number": "845-548-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "DEWITT",
        "middle_name": "RANDOLPH",
        "name_prefix": "Mr.",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "000779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Schuk, RN
• Amanda Rose Schule, CNM
• Aliza S. Schwartz, DMD
• Jessica Schwartz
• Elizandra Sclafani, RN
• Brooke Morgan Scully, RN
• Shandy Ann Secor, RN
• Faith M Selchick, DNP, AGPCNP-BC
• John Selleck, MSW,LCSW
• Joel H Selter, M.D.

• Medical Physician Assistant in Suffern, NY
• Providers in Suffern, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.