Active NPI
Sara Amy Scrivano, DC, MSA
- Acupuncturist
- New York, NY
National Provider Identifier
1740707132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 006348
- Practice address
- 139 Fulton St RM 1012
New York, NY 10038-2515 - Phone
- (917) 763-8560
- NPI assigned
- Aug 25, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X012928 | NY | |
| Acupuncturist | 171100000X | 006348 | NY | Primary |
Addresses
Primary practice location
139 Fulton St RM 1012
New York, NY 10038-2515
Mailing address
154 Pennsylvania Ave
Freeport, NY 11520-2021
Phone (516) 637-4146
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X012928 | NY | MD | Chiropractor |
| 006348 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pace Family Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Rochester, NY
- NPI 1487784260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1740707132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 PENNSYLVANIA AVE",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115202021",
"telephone_number": "516-637-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 FULTON ST RM 1012",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100382515",
"telephone_number": "917-763-8560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCRIVANO",
"first_name": "SARA",
"middle_name": "AMY",
"name_prefix": "Dr.",
"credential": "DC, MSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X012928",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "006348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.