Robert E. Scully, MD,PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

164326 Issued in NY

Legal business name

ROBERT E. SCULLY, MD,PC

Practice address

365 W Jericho Tpke
Huntington, NY 11743-6362

Phone

(631) 423-5400

Fax

(631) 423-5423

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert E. Scully, MD

Title

President

Phone

(631) 423-5400

Specialties & licenses 1

Addresses

Other names 1

• Medicenter Doing business as

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831242668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 W JERICHO TPKE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436362",
            "telephone_number": "631-423-5400",
            "fax_number": "631-423-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W JERICHO TPKE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436362",
            "telephone_number": "631-423-5400",
            "fax_number": "631-423-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. SCULLY, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCULLY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-423-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "164326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Kay Ritter, MHC-LP
• Gisela Rivera, MS, MHC-LP
• RMG Therapy, LLC.
• Mallory Taylor Robalino, NP
• Robert a Scher, MD, PC
• Robert Feld M.D., L.L.C.
• Robert Kazenoff MD PC
• Robert V Moriarty MD PC
• Josephine P Roberto, M.S.W., L.C.S.W.
• Anne Robertson, PSYD

• Internal Medicine Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.