Organization Active NPI

Performance Medical Office PLLC

  • Multi-Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1740801018
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PERFORMANCE MEDICAL OFFICE PLLC
Practice address
70 E 55TH St FL 2
New York, NY 10022-3396
Phone
(516) 388-5110
NPI assigned
Apr 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Authorized official

Name
Dr. Marvell Scott
Title
Owner/MD
Phone
(212) 203-1835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

70 E 55TH St FL 2
New York, NY 10022-3396

Mailing address

2050 Lakeville Rd Ste 2
New Hyde Park, NY 11040-1639
Phone (516) 388-5110

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1740801018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 LAKEVILLE RD STE 2",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401639",
            "telephone_number": "516-388-5110",
            "fax_number": "516-517-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E 55TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223396",
            "telephone_number": "516-388-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE MEDICAL OFFICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MARVELL",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "212-203-1835",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "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 Apr 28, 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.

Verify at the official NPI Registry.