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SCARSDALE INTEGRATIVE FAMILY MEDICINE PLLC
NPI 1902182397
Family Medicine in Scarsdale, NY

Active since October 29, 2011CLIA 07D2301912 · Waiver
2 OVERHILL RD STE 260, SCARSDALE, NY 10583(914) 722-9440(914) 722-9441 Get Directions Write a Review

NPPES record last updated: December 16, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Scarsdale Integrative Family Medicine Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCARSDALE INTEGRATIVE FAMILY MEDICINE PLLC (NPI 1902182397) is a healthcare organization registered as a family medicine in Scarsdale, New York and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through April 2, 2028 and lists Hyun Joon Lee, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1902182397
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSCARSDALE INTEGRATIVE FAMILY MEDICINE PLLC
Location Address2 OVERHILL RD STE 260Scarsdale, NY 10583-5334
Mailing Address2 Overhill Rd Ste 260Scarsdale, NY 10583-5334 · (914) 722-9440 · Fax (914) 722-9441
Phone(914) 722-9440
Fax(914) 722-9441
Organization SubpartNo
Authorized OfficialHyun Joon LeeMedical Director · (914) 722-9440
Enumeration DateOctober 29, 2011
Last NPPES UpdateDecember 16, 2011
✔ NPI 1902182397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 229053
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2 OVERHILL RD STE 260, Scarsdale, NY 10583
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scarsdale Integrative Family Medicine Pllc 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 Scarsdale Integrative Family Medicine PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephen Dahmer, M.D.
Family Practice
NPI 1508956798
6860 E SUNRISE DR STE 100
Tucson, AZ 85750
(520) 694-1042
✔ PECOS✔ Accepts Medicare2,126 mi

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 2

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 07D2301912

Scarsdale Integrative Family Medicine PLLC · Riverside, CT
Active · expires Apr 2, 2028
CLIA Number07D2301912
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2026
Certificate Expiration DateApril 2, 2028
Laboratory DirectorHyun Joon Lee
Laboratory Phone(914) 722-9440
Laboratory LocationScarsdale Integrative Family Medicine PLLC1200 E Putnam Ave, 2nd Floor, Riverside, CT 06878
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D1090323

Scarsdale Integrative Family Medicine, PLLC · Scarsdale, NY
Expired · Oct 7, 2026
CLIA Number33D1090323
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorDr. Hyun Joon Lee
Laboratory Phone(914) 722-9440
Laboratory LocationScarsdale Integrative Family Medicine, PLLC2 Overhill Road, Suite 260, Scarsdale, NY 10583
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Scarsdale Integrative Family Medicine PLLC's NPI number?

The NPI number for Scarsdale Integrative Family Medicine PLLC is 1902182397. It was assigned to this organization in the NPPES registry on October 29, 2011.

Where is Scarsdale Integrative Family Medicine PLLC located?

Scarsdale Integrative Family Medicine PLLC is located at 2 Overhill Rd Ste 260, Scarsdale, NY 10583. The listed phone number is (914) 722-9440.

What is Scarsdale Integrative Family Medicine PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Scarsdale Integrative Family Medicine PLLC enrolled in Medicare?

Yes. Scarsdale Integrative Family Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scarsdale Integrative Family Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Scarsdale Integrative Family Medicine PLLC. 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 Scarsdale Integrative Family Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2301912) is associated with this NPI, valid through April 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Scarsdale Integrative Family Medicine PLLC was last updated on December 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.