NPIMap

Individual provider Active NPI

Matthew Scro, MD

  • Emergency Medicine Physician
  • Wantagh, NY
National Provider Identifier
1700296415
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA10549700 Issued in NJ
Practice address
3415 Stratford Rd
Wantagh, NY 11793-3012
Phone
(516) 551-8079
NPI assigned
May 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA10549700 NJ Primary
Emergency Medicine Physician 207P00000X 287860 NY

Addresses

Primary practice location

3415 Stratford Rd
Wantagh, NY 11793-3012

Mailing address

3415 Stratford Rd
Wantagh, NY 11793-3012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170606000783 NY Practitioner - Emergency Medicine 0749557155 Reassigns benefits to 3 organizations
I20190520002839 NJ Practitioner - Emergency Medicine 0749557155 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stadium Emergency AssociatesGroup PAC ID 6406150010, 24 clinicians

Practice addresses (Care Compare)

230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone (201) 967-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
287860NYMDLicensed Practical Nurse
25MA10549700NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Emergency Physicians, P.a. Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Sep 22, 2017 Accepting new patients
Stadium Emergency Associates CurrentSince Mar 31, 2019 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Kingsbrook Medical Associates PC Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Interfaith Emergency Medicine, P.C. Emergency Medicine CurrentSince Sep 12, 2024 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Sep 22, 2017 Accepting new patients
Kingsbrook Medical Associates, PC Current Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

Interoperability endpoints

  • Direct secure messaging: mscro470707@direct.ahsys.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1700296415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 STRATFORD RD",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 STRATFORD RD",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933012",
            "telephone_number": "516-551-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRO",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-02",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA10549700",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "287860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

Verify at the official NPI Registry.