Individual provider Active NPI

David Scott, M.D.

  • Nephrology Physician
  • Laurelton, NY
National Provider Identifier
1730281452
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
176037-1 Issued in NY
Practice address
23201 Merrick Blvd
Laurelton, NY 11413-2116
Phone
(718) 276-4750
NPI assigned
Sep 2, 2006
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 176037-1 NY Primary

Addresses

Primary practice location

23201 Merrick Blvd
Laurelton, NY 11413-2116

Mailing address

19 Henrietta CT
Ridgewood, NJ 07450-2938
Phone (201) 670-7498

Other practice location 1

13435 Springfield Blvd
Springfield Gardens, NY 11413-1448
Phone (718) 276-4750

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108000982 NY Practitioner - Internal MedicinePractitioner - Nephrology 0345149233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Tufts University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23201 Merrick Blvd
Laurelton, NY 11413-2116
Phone (718) 276-4750

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
176037-1NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dwayne E. Rollins, MD, PC PastSince Sep 27, 2017 Accepting new patients
St. Albans Diaylsis PC Nephrology PastSince Jul 7, 1999 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJHFBA

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1730281452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HENRIETTA CT",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502938",
            "telephone_number": "201-670-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23201 MERRICK BLVD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132116",
            "telephone_number": "718-276-4750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13435 Springfield Blvd",
            "address_purpose": "LOCATION",
            "city": "Springfield Gardens",
            "state": "NY",
            "postal_code": "114131448",
            "country_code": "US",
            "telephone_number": "718-276-4750",
            "fax_number": "718-276-4751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "176037-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurelton, NY

Sources for this page

Verify at the official NPI Registry.