SKOPE MEDICAL CARE P.C.
NPI 1356420715
Internal Medicine in Wyandanch, NY
About Skope Medical Care P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SKOPE MEDICAL CARE P.C. (NPI 1356420715) is a healthcare organization registered as an internal medicine in Wyandanch, New York and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through October 17, 2027 and lists Data Longjohn, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Skope Medical Care P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Skope Medical Care P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D0992506
Skope Medical Care, PC · Wyandanch, NYFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Skope Medical Care P.C.'s NPI number?
The NPI number for Skope Medical Care P.C. is 1356420715. It was assigned to this organization in the NPPES registry on November 4, 2006.
Where is Skope Medical Care P.C. located?
Skope Medical Care P.C. is located at 1537 Straight Path Ste 102, Wyandanch, NY 11798. The listed phone number is (631) 253-0270.
What is Skope Medical Care P.C.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Skope Medical Care P.C. enrolled in Medicare?
Yes. Skope Medical Care P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Skope Medical Care P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Skope Medical Care P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Skope Medical Care P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0992506) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Skope Medical Care P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Skope Medical Care P.c. · NPI 1356420715
Internal Medicine organization in Wyandanch, New York. Organization record, active in the CMS NPPES registry since November 4, 2006.
## Identity
- **NPI:** 1356420715 (Entity type: Organization)
- **Enumerated:** November 4, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Data Longjohn, PRESIDENT
## Practice location
- **Address:** 1537 STRAIGHT PATH, STE 102, Wyandanch, NY 11798-3414
- **Phone:** (631) 253-0270
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 01889129 (NY)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1356420715) · Data from the CMS NPPES public registry.