Individual provider Active NPI

Susan Scanga, MA, OT, CHT

  • Hand Occupational Therapist
  • New York, NY
National Provider Identifier
1972511376
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
001700-1 Issued in NY
Practice address
125 Cedar St
#3S
New York, NY 10006-1017
Phone
(212) 406-2568
Fax
(212) 267-2721
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 001700-1 NY Primary

Addresses

Primary practice location

125 Cedar St
#3S
New York, NY 10006-1017

Mailing address

125 Cedar St
#3S
New York, NY 10006-1017
Phone (212) 406-2568

Other identifiers 3

IdentifierTypeStateIssuer
NS420OtherNYORTHONET
0C07351OtherNYHEALTHNET OF NY, INC.
Q7854OtherNYEMPIRE BC & BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090825000218 NY Practitioner - Occupational Therapist in Private Practice 2264586338 Reassigns benefits to 1 organization
Practice locations: Red Hook, NY

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

340 Plaza Rd
Kingston, NY 12401-2975
Phone (845) 339-4139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
001700-1NYMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kingston Physical Therapy and Sports Rehab PC CurrentSince Nov 22, 2023 Accepting new patients
Kingston Physical-Occupational Therapy & Sports Rehab PLLC Hand CurrentSince Nov 22, 2023 Accepting new patients

Locations

340 Plaza Rd
Kingston, NY 12401
Phone (845) 339-4139

Organizations & group practices 2

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1972511376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CEDAR ST",
            "address_2": "#3S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061017",
            "telephone_number": "212-406-2568",
            "fax_number": "212-267-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CEDAR ST",
            "address_2": "#3S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061017",
            "telephone_number": "212-406-2568",
            "fax_number": "212-267-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANGA",
        "first_name": "SUSAN",
        "credential": "MA, OT, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "001700-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET",
            "identifier": "NS420",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET OF NY, INC.",
            "identifier": "0C07351",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC & BS",
            "identifier": "Q7854",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.