MARCELLA SCACCIA PHYSICIAN PLLC (NPI# 1326336959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326336959 |
| Entity Type | Organization |
| Organization Name | MARCELLA SCACCIA PHYSICIAN PLLC |
| Other Organization Name | TOTAL WELLNESS & HEALTHY AGING |
| Practice Address |
2540 Shore Blvd 12b Astoria NY 11102-3941 |
| Mailing Address |
2922 Sea Oats Cir Daytona Beach Shores FL 32118-5938 |
| Practice Telephone | 3868714515 |
| Practice Fax Number | 3867679085 |
| Mailing Telephone | 3868710675 |
| Mailing Fax Number | 3867679085 |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |
| Authorized Official Name | MARCELLA SCACCIA (CEO) |
| Authorized Official Telephone | 3868710675 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
241739 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Total Wellness & Healthy Aging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043507338 | Marcella Scaccia Physician Pllc | Family Medicine | 2922 Sea Oats Cir, Daytona Beach Shores, FL 32118-5938 | 2011-07-07 |
| Street Address |
2540 SHORE BLVD 12B |
| City | ASTORIA |
| State | NY |
| Zip Code | 11102-3941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346558459 | Christine Knafelc | Occupational Therapist | 2540 Shore Blvd, Apt. 11t, Astoria, NY 11102-3941 | 2010-09-23 |
| 1346618873 | Marina Kostandy | Pharmacist | 2540 Shore Blvd, Apt 14 N, Astoria, NY 11102-3941 | 2015-09-15 |
| 1619392560 | Jessica Koblenz | Psychologist | 2540 Shore Blvd, 4i, Astoria, NY 11102-3941 | 2014-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301444 | Stephanie Angela Van Rossem | Nurse Practitioner | 28-18 Astoria Blvd, Astoria, Ny 11102, Astoria, NY 11102 | 2019-08-15 |
| 1831754118 | Ahmed Mohamed Sayed Zedan | Pharmacist | 3014 14th St, Astoria, NY 11102 | 2019-05-02 |
| 1841758927 | Prohealth Care Associates, LLP | Occupational Therapist | 27-17 Cresecent Street, Suite 1, Astoria, NY 11102 | 2019-03-07 |
| 1598231292 | Mayuri Ardak | Student in an Organized Health Care Education/Training Program | 25-40 30th Road Suite A1, Astoria, NY 11102 | 2018-10-19 |
| 1134626740 | Claudia Ahumada, Lcsw, Pllc | Social Worker | 2556 31st St Ste 302, Astoria, NY 11102 | 2018-04-10 |
| 1255840039 | Ashley Taylor Curaba | Physician Assistant | 25-10 30th Rd, Queens, NY 11102 | 2017-09-25 |
| 1265953517 | Kathleen Yetman | Student in an Organized Health Care Education/Training Program | 2707 8th Street, The Astoria Blue Feather Profram, Astoria, NY 11102 | 2017-06-27 |
| 1679933998 | Tarek R Khater | Clinic/Center | 2814 31st St, Suite 501, Astoria, NY 11102 | 2016-02-29 |
| 1295194116 | Individualized Family Care LLC | Community/Behavioral Health | 12-22 30th Ave, Apt 4h, Astoria, NY 11102 | 2016-02-19 |
| 1700288909 | Andre Farah Dc PC | Chiropractor | 29-15 Astoria Blvd, Astoria, NY 11102 | 2014-09-18 |
| Find all providers in zip 11102 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
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| 1225416837 | Good Neighbor Family Practice and Geriatrics, P.C. | Family Medicine | 13338 41st Rd Ste Co-3, Flushing, NY 11355-3782 | 2015-05-14 |
| 1245667930 | Yelena Faynzilbert Do Pllc | Family Medicine | 62 Stratford Green, Farmingdale, NY 11735 | 2013-09-26 |
| 1063779346 | Melissa Borrero Md, Pllc | Family Medicine | 405 E 116th St, Unit 2, New York, NY 10029-1623 | 2012-04-11 |
| 1588943047 | J&j Star Medical Pllc | Family Medicine | 9320 70th Ave, Forest Hills, NY 11375-5828 | 2011-08-15 |
| 1629360995 | Eugene A Steinberg Md PC | Family Medicine | 8 Thames Ct, Getzville, NY 14068-1177 | 2011-05-05 |
| 1891010781 | Christine R. Viola | Family Medicine | 415 Ocean Pkwy, 4a, Brooklyn, NY 11218-4748 | 2010-04-02 |
| 1518190305 | Raouf Kodsy Physician PC | Family Medicine | 1644 Genesee St, Utica, NY 13502-5428 | 2009-08-27 |
| 1467694703 | Amandeep Pal | Family Medicine | 6334 Robinson Rd, Lockport, NY 14094 | 2009-04-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.