Active NPI
Thomas A Scilaris, M.D.
- Orthopaedic Surgery Physician
- New York, NY
National Provider Identifier
1619073368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 213911-1
- Practice address
- 39 E 69TH St
New York, NY 10021-4917 - Phone
- (212) 744-1121
- Fax
- (212) 744-8494
- NPI assigned
- Sep 16, 2006
- Last updated
- Feb 11, 2025
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 25MA08643900 | NJ | |
| Orthopaedic Surgery Physician | 207X00000X | 213911-1 | NY | Primary |
Addresses
Primary practice location
39 E 69TH St
New York, NY 10021-4917
Mailing address
39 E 69TH St
New York, NY 10021-4917
Phone (212) 744-1121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-1885022 | Other | NY | TAX IDENTIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060109000415 | NY | Practitioner - Orthopedic Surgery | 3779506431 | Practice locations: New York, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08643900 | NJ | MD | Orthopaedic Surgery Physician |
| 213911-1 | NY | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park West Surgical Group LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Pension Committee Joint Industry Board | Past | Accepting new patients | |
| Lynx Ipa LLC | Past | Accepting new patients | |
| Cto Management | Past | Accepting new patients |
Interoperability endpoints
- tscilaris67217@northwell.direct-ci.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1578680179
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1639552144
-
- Health Maintenance Organization
- New York, NY
- NPI 1760022339
-
- Clinic/Center
- Flushing, NY
- NPI 1033265095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1619073368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 E 69TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214917",
"telephone_number": "212-744-1121",
"fax_number": "212-744-8494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 E 69TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214917",
"telephone_number": "212-744-1121",
"fax_number": "212-744-8494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCILARIS",
"first_name": "THOMAS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "25MA08643900",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "213911-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "20-1885022",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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- Lisa Anne Scionti, PSY.D.
- Marie Elena Scioscia, M.S., R.D., CDN.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.