NPIMap

Organization Active NPI

NHCC Medical Faculty Practice Plan PC

Doing business as Nassau Medical Associates

  • Internal Medicine Physician
  • Freeport, NY
National Provider Identifier
1952541252
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
087850 Issued in NY
Legal business name
NHCC MEDICAL FACULTY PRACTICE PLAN PC
Doing business as
Nassau Medical Associates
Practice address
101 S Bergen PL
Freeport, NY 11520-3528
Phone
(516) 719-0110
Fax
(516) 719-0109
NPI assigned
Feb 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Dr. Victor Scarmato, MD
Title
President
Phone
(516) 719-0110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 087850 NY Primary

Addresses

Primary practice location

101 S Bergen PL
Freeport, NY 11520-3528

Mailing address

PO Box 390
Freeport, NY 11520-0390
Phone (516) 719-0110

Other identifiers 1

IdentifierTypeStateIssuer
A100024636OtherNYMEDICARE PTAN

Other names 1

  • Nassau Medical Associates Doing business as

National Provider Directory

National Provider Directory

Locations

101 S Bergen Pl
Ste 203
Freeport, NY 11520
Phone (516) 377-3800

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1952541252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115200390",
            "telephone_number": "516-719-0110",
            "fax_number": "516-719-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S BERGEN PL",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203528",
            "telephone_number": "516-719-0110",
            "fax_number": "516-719-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NHCC MEDICAL FACULTY PRACTICE PLAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "SCARMATO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-719-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "087850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A100024636",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nassau Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.