Provider Demographics
NPI:1922055771
Name:MCAFEE, SCOT GERARD (MD)
Entity type:Individual
Prefix:DR
First Name:SCOT
Middle Name:GERARD
Last Name:MCAFEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6217
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10249-6217
Mailing Address - Country:US
Mailing Address - Phone:212-604-8795
Mailing Address - Fax:212-604-8794
Practice Address - Street 1:1610 ROUTE 88 FL 3
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3018
Practice Address - Country:US
Practice Address - Phone:732-295-6543
Practice Address - Fax:732-295-6204
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2169472084P0800X
NJ25MA117948002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02186294Medicaid
NY6Q2622Medicare ID - Type Unspecified
NY02186294Medicaid