Michael Scoma Medical PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

MICHAEL SCOMA MEDICAL PC

Practice address

173 Mineola Blvd
Suite 401a
Mineola, NY 11501-2555

Phone

(516) 746-2212

Fax

(516) 746-3231

NPI assigned

May 6, 2015

Organization subpart

No

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

Authorized official

Name

Michael Robert Scoma, MDNPI 1215167390

Title

Owner

Phone

(516) 746-2212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Robert Scoma, M.D.

  • Infectious Disease Physician
  • Mineola, NY
  • NPI 1215167390
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1548647803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MINEOLA BLVD",
            "address_2": "SUITE 401A",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012555",
            "telephone_number": "516-746-2212",
            "fax_number": "516-746-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MINEOLA BLVD",
            "address_2": "SUITE 401A",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012555",
            "telephone_number": "516-746-2212",
            "fax_number": "516-746-3231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 5th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100214951",
            "country_code": "US",
            "telephone_number": "212-756-9999",
            "fax_number": "212-933-1317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL SCOMA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "SCOMA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-746-2212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Spencer V Meyers, D.D.S.
• Barbara Mian
• Michael Reens Certified Registered Nurse Anesthetist PC
• Allison Michaeli, D.O.
• Kathleen Michel
• Widline Michel
• Nickolaos Michelakis, M.D.
• Lauren Miele

• Infectious Disease Physician in Mineola, NY
• Providers in Mineola, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.