Scott Duong, MD

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

License

256263 Issued in NY

Practice address

10 Nevada Drive
North Shore Lij Laboratories
Lake Success, NY 11042

Phone

(516) 224-8505

Fax

(516) 719-1254

NPI assigned

Feb 26, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1750521019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NEVADA DRIVE",
            "address_2": "NORTH SHORE LIJ LABORATORIES",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-224-8505",
            "fax_number": "516-719-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NEVADA DRIVE",
            "address_2": "NORTH SHORE LIJ LABORATORIES",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-224-8505",
            "fax_number": "516-719-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "MA",
            "license": "215016",
            "primary": false
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "NY",
            "license": "256263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Devoe, MD
• Laura Donahue
• John J Dragan, P.T., GCS
• Michael W Duffe, RPAC
• Phuong-Anh T. Duong, M.D.
• James C Fagin, MD
• Alan Fein, MD
• Brian D Feingold, MD
• Oshelle Alanah Fernandes, OTA
• Ashley Foo, AGPCNP-BC

• Clinical Pathology Physician in Lake Success, NY
• Providers in Lake Success, NY by specialty
• Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.