Individual provider Active NPI

Scott G Brown, DO

  • Family Medicine Physician
  • North Bellmore, NY
National Provider Identifier
1801960984
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
205070 Issued in NY
Practice address
2374 Jerusalem Ave
North Bellmore, NY 11710-1825
Phone
(516) 409-8311
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 205070 NY Primary

Addresses

Primary practice location

2374 Jerusalem Ave
North Bellmore, NY 11710-1825

Mailing address

3044 Riverside Dr
Wantagh, NY 11793-4640
Phone (516) 409-5587

Other identifiers 1

IdentifierTypeStateIssuer
01813065MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060425000685 NY Practitioner - Family PracticePractitioner - Emergency Medicine 3678583358 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr. Scott G Brown DO, PCGroup PAC ID 0648507137, 3 clinicians

Practice addresses (Care Compare)

2374 Jerusalem Ave
North Bellmore, NY 11710-1825
Phone (516) 409-8311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Scott G Brown DO PC Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Mar 27, 2014 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Mar 27, 2014 Accepting new patients

Locations

7425 Grand Ave
Elmhurst, NY 11373
Phone (718) 478-8400

656 Wellwood Ave
Lindenhurst, NY 11757
Phone (516) 764-2273

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

2374 Jerusalem Ave
North Bellmore, NY 11710
Phone (516) 409-8311

1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: scott.brown.1@12678.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1801960984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 RIVERSIDE DR",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117934640",
            "telephone_number": "516-409-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2374 JERUSALEM AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101825",
            "telephone_number": "516-409-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SCOTT",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "205070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01813065",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bellmore, NY

Sources for this page

Verify at the official NPI Registry.