Active NPI
Sydney Coscia, RPA-C
- Dermatology Physician
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 03245401
- Practice address
- 935 Northern Blvd Ste 106
Great Neck, NY 11021-5309 - Phone
- (516) 715-4123
- NPI assigned
- Oct 30, 2024
- Last updated
- Nov 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 03245401 | NY | Primary |
Addresses
Primary practice location
935 Northern Blvd Ste 106
Great Neck, NY 11021-5309
Mailing address
10 Vista LN
Melville, NY 11747-2418
Phone (516) 297-8270
Other practice location 1
92-11 Roosevelt Avenue
Jackson Heights, NY 11372
Phone (718) 424-3001
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
220 Front St
New York, NY 10038-2033
Phone (212) 385-3700
9211 Roosevelt Ave
Jackson Heights, NY 11372-7941
Phone (718) 424-3001
935 Northern Blvd
Suite 106
Great Neck, NY 11021-5309
Phone (516) 482-3496
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03245401 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Diagnostic Imaging PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Great Neck, NY
- NPI 1841582079
-
- Dermatology Physician
- New York, NY
- NPI 1134349954
-
- Diagnostic Radiology Physician
- Jackson Heights, NY
- NPI 1295008688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1619799509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 VISTA LN",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472418",
"telephone_number": "516-297-8270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 NORTHERN BLVD STE 106",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215309",
"telephone_number": "516-715-4123"
}
],
"practiceLocations": [
{
"address_1": "92-11 Roosevelt Avenue",
"address_purpose": "LOCATION",
"city": "Jackson Heights",
"state": "NY",
"postal_code": "11372",
"country_code": "US",
"telephone_number": "718-424-3001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COSCIA",
"first_name": "SYDNEY",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-30",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "03245401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.