Organization Active NPI

Performance Medical Services PLLC

  • Non-Pharmacy Dispensing Site
  • New York, NY
National Provider Identifier
1912302233
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
241676-1 Issued in NY
Legal business name
PERFORMANCE MEDICAL SERVICES PLLC
Doing business as
Performance Health
Practice address
70 E 55TH St
2ND FL.
New York, NY 10022-3222
Phone
(212) 486-8616
Fax
(212) 486-8621
NPI assigned
Oct 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Dr. Marvell Scott, M.D.
Title
Owner
Phone
(212) 486-8616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 241676-1 NY Primary

Addresses

Primary practice location

70 E 55TH St
2ND FL.
New York, NY 10022-3222

Mailing address

70 E 55TH St
2ND FL.
New York, NY 10022-3222
Phone (212) 486-8616

Other names 1

  • Performance Health Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2059852Performance Medical Services PLLC70 East 55TH Street, 2ND Floor, New York, NY 10022Certificate of waiverMay 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Performance Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

70 E 55th St
Fl 2
New York, NY 10022
Phone (212) 486-8616

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1912302233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E 55TH ST",
            "address_2": "2ND FL.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223222",
            "telephone_number": "212-486-8616",
            "fax_number": "212-486-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E 55TH ST",
            "address_2": "2ND FL.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223222",
            "telephone_number": "212-486-8616",
            "fax_number": "212-486-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MARVELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-486-8616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NY",
            "license": "241676-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.