SUSAN A SCAVO (NPI# 1518077098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518077098 |
| Entity Type | Individual |
| Full Name | SUSAN A SCAVO |
| Credential | M.D. |
| Practice Address |
200 Old Country Rd Suite 650 Mineola NY 11501-4235 |
| Practice Telephone | 5167470105 |
| Practice Fax Number | 5162802612 |
| Mailing Telephone | 5167470105 |
| Mailing Fax Number | 5162802612 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 2059971 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MULTI PLAN | 262689012 | 01 |
| NY | MAGNA CARE | 262689012 | 01 |
| NY | CIGNA | 5009001003 | 01 |
| NY | GHI | 0407961 | 01 |
| NY | UNITED HEALTHCARE | 1912086 | 01 |
| NY | BLUE CHOICE | 50Z161 | 01 |
| NY | AETNA PPO/POS | 5662762 | 01 |
| NY | RR MEDICARE | 160048628 | 01 |
| NY | OXFORD | P1297217 | 01 |
| NY | AETNA HNO | 2185065 | 01 |
| NY | PHS (HEALTHNET) | 2C8532 | 01 |
| NY | SELECT PRO | NS0003502 | 01 |
| NY | ANTHEM | 010205997NY01 | 01 |
| NY | HORIZON | 262689012 | 01 |
| NY | EMPIRE PLAN | 50Z161 | 01 |
| NY | GHI HMO | 71560 | 01 |
| Street Address |
200 OLD COUNTRY RD SUITE 650 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-4235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457359341 | Joan Aiello | Nurse Practitioner | 200 Old Country Rd, Mineola, NY 11501-4235 | 2005-07-13 |
| 1598323230 | Nyu Langone Hospitals | Clinic/Center | 200 Old Country Rd, Mineola, NY 11501-4235 | 2019-05-29 |
| 1790282044 | David Elsharouny | Student in an Organized Health Care Education/Training Program | 200 Old Country Rd, Mineola, NY 11501-4235 | 2018-04-11 |
| 1376078998 | Nadine Ninivaggi | Student in an Organized Health Care Education/Training Program | 200 Old Country Rd, Mineola, NY 11501-4235 | 2017-04-21 |
| 1740712793 | Navinder Kaur Nat | Student in an Organized Health Care Education/Training Program | 200 Old Country Rd, Suite 460, Mineola, NY 11501-4235 | 2017-03-29 |
| 1447792908 | Heather Gionesi | Nurse Practitioner | 200 Old Country Rd, Suite 278, Mineola, NY 11501-4235 | 2016-11-14 |
| 1609238781 | Benjamin Little | Student in an Organized Health Care Education/Training Program | 200 Old Country Rd, Suite 460, Mineola, NY 11501-4235 | 2016-03-28 |
| 1487016507 | Icahn School of Medicine At Mount Sinai | Internal Medicine | 200 Old Country Rd, Suite 278, Mineola, NY 11501-4235 | 2016-03-28 |
| 1134581465 | Amy Hassan | Student in an Organized Health Care Education/Training Program | 200 Old Country Rd, Suite 460, Mineola, NY 11501-4235 | 2016-03-25 |
| 1760842637 | Kellianne Tulley | Physician Assistant | 200 Old Country Rd, Mineola, NY 11501-4235 | 2016-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
| Find all providers in zip 11501 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164935276 | 300 Old Country Road Medical Pllc | Obstetrics & Gynecology | 300 Old Country Rd Ste 201, Mineola, NY 11501-4199 | 2017-11-10 |
| 1063760551 | Hye In Park | Obstetrics & Gynecology | 2 Birchwood Ct, Apt # 3b, Mineola, NY 11501-4525 | 2012-08-15 |
| 1053668962 | Veronica Rojas | Obstetrics & Gynecology | 259 1st St Dept Ob, Mineola, NY 11501-3957 | 2012-08-09 |
| 1619239001 | Cheryl Dinglas | Obstetrics & Gynecology | 259 1st St Lowr Level, Mineola, NY 11501-3957 | 2012-06-12 |
| 1255418786 | Lydia Valderrama-kunion | Obstetrics & Gynecology | 173 Mineola Blvd Ste 200, Mineola, NY 11501-2530 | 2006-11-01 |
| 1831273200 | Robert Ward Nadel | Obstetrics & Gynecology | 376 1st St, Mineola, NY 11501-3737 | 2006-10-24 |
| 1962465963 | Cara H Lieberman | Obstetrics & Gynecology | 135 Mineola Blvd, Mineola, NY 11501-3917 | 2006-04-10 |
| 1801885835 | Paul Byrne | Obstetrics & Gynecology | 300 Old Country Rd Ste 400, Mineola, NY 11501-4112 | 2005-10-21 |
| 1609869734 | Valerie Cucco | Obstetrics & Gynecology | 120 Mineola Blvd, Suite 100, Mineola, NY 11501-4073 | 2005-08-24 |
| 1558711135 | Roseanna Miller | Obstetrics & Gynecology | 300 Old Country Rd Ste 400, Mineola, NY 11501-4112 | 2016-06-15 |
| Find all providers in MINEOLA | ||||
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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.