Lifes Bounty Medical Care P C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

168980 Issued in NY

Legal business name

LIFES BOUNTY MEDICAL CARE P C

Practice address

1776 Richmond Rd
Staten Island, NY 10306-2578

Phone

(718) 668-6963

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Anna Marie Scopellito-Olsen

Title

Doctor

Phone

(718) 668-6963

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Ann Schierenbeck, F.N.P.

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1093099228
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1609930783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 MIDLAND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082918",
            "telephone_number": "718-668-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062578",
            "telephone_number": "718-668-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFES BOUNTY MEDICAL CARE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "SCOPELLITO-OLSEN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "17186686963"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "168980",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "168980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Liebman, MSED
• Liezl Villaverde, MD PC
• Life Skills Enhancement Occupational Therapy Services, PC
• Lifeline Imaging LLC
• Lifeline Pharmacy Incorporated
• Lifespire, Inc.
• Lifespire, Inc.
• Lifespire, Inc.
• Lifestyle Rehab PT PC
• Lifestyles for the Disabled, Inc.

• Internal Medicine Physician in Staten Island, NY
• Providers in Staten Island, 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 Dec 12, 2012; 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.