Individual provider Active NPI

Sydney Coscia, RPA-C

  • Dermatology Physician
  • Great Neck, NY
National Provider Identifier
1619799509
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
03245401 Issued in NY
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114001396 NY Practitioner - Physician Assistant 4486188323 Reassigns benefits to 2 organizations

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
Bobby Buka, M.D., P.C.Group PAC ID 0547351140, 140 clinicians
Angela Azar MD PCGroup PAC ID 0143110098, 3 clinicians

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

LicenseStateTypeSpecialty
03245401NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PLLC PastSince Nov 3, 2024 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.

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

Verify at the official NPI Registry.