Active NPI
Robert F. Scanlon Jr., M.D.
- Obstetrics & Gynecology Physician
- Huntington, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 181715-1
- Practice address
- 270 Park Ave
Huntington, NY 11743-2787 - Phone
- (631) 351-2000
- Fax
- (631) 351-3694
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 181715 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | 181715-1 | NY | Primary |
Addresses
Primary practice location
270 Park Ave
Huntington, NY 11743-2787
Mailing address
270 Park Ave
Huntington, NY 11743-2787
Phone (631) 351-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01419167 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Wake Forest University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
270 Park Ave
Suite 1
Huntington, NY 11743-2787
Phone (631) 351-2219
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 181715-1 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Suffolk Hospital | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Central Suffolk Hosptial | Current | Accepting new patients | |
| Northwell Health | Current | Accepting new patients | |
| Central Suffolk Hospital | Past | Accepting new patients |
Locations
270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308
270 Park Ave
Fl 1
Huntington, NY 11743
Phone (631) 351-2219
1572 New York Ave
Huntington Station, NY 11746
Phone (631) 425-5250
300 Community Dr
Plandome, NY 11030
1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- robertscanlon@northwell.allscriptsdirect.net
- rscanlon67485@northwell.direct-ci.com
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Riverhead, NY
- NPI 1043402050
-
- Health Service Clinic/Center
- Greenlawn, NY
- NPI 1578593588
-
- Nurse Practitioner
- Riverhead, NY
- NPI 1841637741
-
- Rehabilitation Hospital Unit
- Glen Cove, NY
- NPI 1619336260
-
- General Acute Care Hospital
- Riverhead, NY
- NPI 1386649804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1740296722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 PARK AVE",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432787",
"telephone_number": "631-351-2000",
"fax_number": "631-351-3694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 PARK AVE",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432787",
"telephone_number": "631-351-2000",
"fax_number": "631-351-3694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCANLON",
"first_name": "ROBERT",
"middle_name": "F.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "181715",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "181715-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01419167",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.