Kenneth Paul Scileppi, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

135944 Issued in NY

Practice address

1550 York Ave
New York, NY 10028-5970

Phone

(212) 249-6218

Fax

(212) 628-7059

NPI assigned

May 29, 2005

Reactivated

Mar 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1117324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568465003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100285970",
            "telephone_number": "212-249-6218",
            "fax_number": "212-628-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100285970",
            "telephone_number": "212-249-6218",
            "fax_number": "212-628-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCILEPPI",
        "first_name": "KENNETH",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-29",
        "last_updated": "2007-07-08",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "135944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00482971",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lisa Anne Scionti, PSY.D.
• Marie Elena Scioscia, M.S., R.D., CDN.
• Denise Scipio, LCSW

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.