Active NPI
Scott Denaro
- Optician
- Rockaway Park, NY
National Provider Identifier
1588724322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 5425-1
- Practice address
- 11310 Beach Channel Dr
Rockaway Park, NY 11694-2209 - Phone
- (718) 474-1234
- Fax
- (718) 945-5809
- NPI assigned
- Dec 11, 2006
- Last updated
- Jun 5, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 5425-1 | NY | Primary |
| Hearing Instrument Specialist | 237700000X | 607319 | NY |
Addresses
Primary practice location
11310 Beach Channel Dr
Rockaway Park, NY 11694-2209
Mailing address
113-10 Beach Channel Drive
Rockaway Park, NY 11694
Phone (718) 474-1234
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5425-1 | NY | MD | Optician |
| 607319 | NY | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Optics Inc | Optician | Current | Accepting new patients |
| Specs RX Inc | Optician | Current | Accepting new patients |
Locations
11310 Beach Channel Dr
Rockaway Park, NY 11694
Phone (718) 474-1234
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591315200000",
"number": "1588724322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113-10 BEACH CHANNEL DRIVE",
"city": "ROCKAWAY PARK",
"state": "NY",
"postal_code": "11694",
"telephone_number": "718-474-1234",
"fax_number": "718-945-5809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11310 BEACH CHANNEL DR",
"city": "ROCKAWAY PARK",
"state": "NY",
"postal_code": "116942209",
"telephone_number": "718-474-1234",
"fax_number": "718-945-5809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENARO",
"first_name": "SCOTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "5425-1",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NY",
"license": "607319",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockaway Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.