Individual provider Active NPI

John Christopher Sciales, M.D.

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1942230362
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
168813 Issued in NY
Practice address
16303 Oak Ave
Flushing, NY 11358-3725
Phone
(718) 445-2298
Fax
(718) 886-2489
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 168813 NY Primary

Addresses

Primary practice location

16303 Oak Ave
Flushing, NY 11358-3725

Mailing address

16303 Oak Ave
Flushing, NY 11358-3725
Phone (718) 445-2298

Other identifiers 1

IdentifierTypeStateIssuer
01041203MedicaidNY

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
I20040604000896 NY Practitioner - Internal Medicine 4183606825 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
168813NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Health and Wellness CurrentSince Oct 29, 2023 Accepting new patients
Booth Medical Associates PC Internal Medicine Past Accepting new patients

Locations

158 Jericho Tpke
Mineola, NY 11501
Phone (516) 526-6144

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1942230362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16303 OAK AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583725",
            "telephone_number": "718-445-2298",
            "fax_number": "718-886-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16303 OAK AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583725",
            "telephone_number": "718-445-2298",
            "fax_number": "718-886-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIALES",
        "first_name": "JOHN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "168813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01041203",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.