Organization Active NPI

Scott Rex, MD, LLC.

  • Family Medicine Physician
  • Port Washington, NY
National Provider Identifier
1790966968
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
233009 Issued in NY
Legal business name
SCOTT REX, MD, LLC.
Practice address
620 Port Washington Blvd
Port Washington, NY 11050-3714
Phone
(516) 467-4788
Fax
(516) 467-4793
NPI assigned
Nov 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Dr. Scott Louis Rex, MD
Title
Owner
Phone
(516) 467-4788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 233009 NY Primary

Addresses

Primary practice location

620 Port Washington Blvd
Port Washington, NY 11050-3714

Mailing address

620 Port Washington Blvd
Port Washington, NY 11050-3714
Phone (516) 467-4788

National Provider Directory

National Provider Directory

Locations

620 Port Washington Blvd
Prt Washingtn, NY 11050
Phone (516) 467-4788

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1790966968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 PORT WASHINGTON BLVD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503714",
            "telephone_number": "516-467-4788",
            "fax_number": "516-467-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 PORT WASHINGTON BLVD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503714",
            "telephone_number": "516-467-4788",
            "fax_number": "516-467-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT REX, MD, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "REX",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-467-4788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "233009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.