Individual provider Active NPI

Jessica Ann Scrozzo

  • Specialist
  • Smithtown, NY
National Provider Identifier
1689305112
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
44 Route Ny-25a
Apt 204
Smithtown, NY 17787-1778
Phone
(631) 901-4678
NPI assigned
Jun 24, 2022
Last updated
Jun 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

44 Route Ny-25a
Apt 204
Smithtown, NY 17787-1778

Mailing address

44 Route Ny-25a
204
Smithtown, NY 17787
Phone (631) 901-4678

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

NPI Registry JSON

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1689305112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 ROUTE NY-25A",
            "address_2": "204",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "17787",
            "telephone_number": "631-901-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 ROUTE NY-25A",
            "address_2": "APT 204",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "177871778",
            "telephone_number": "631-901-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCROZZO",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.