MEDICARE: NICOLE SCALA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	025078	NY

General Provider Information

NPI Number	:	1104442979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE SCALA

Provider Business Mailing Address
First Line	:	500 W MAIN ST STE 204
Second Line	:
City	:	BABYLON
State	:	NY
Zip	:	11702-3028
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 W MAIN ST STE 204
Second Line	:
City	:	BABYLON
State	:	NY
Zip	:	11702-3028
Country	:	US
Telephone Number	:	516-376-8649
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2020
Last Update Date	:	01/09/2023

Similar Medicare Providers

1386640696 — ROHIT TALWAR M.D.
Practice Location Address:

500 WEST MAIN STREET, NSLIJ CENTER FOR SPECIALTY CARE , SUITE 204
BABYLON, NY
11702-3028

Practice Phone: 631-539-5400
Practice Fax: 631-539-5401

1992947923 — VICTORIA VUONG D.O.
Practice Location Address:

500 W MAIN ST STE 110
BABYLON, NY
11702-3028

Practice Phone: 631-376-2663
Practice Fax: 631-376-4800

1871806133 — IMEDICAL DIAGNOSTIC IMAGING CENTER OF NAPLES, LLC
Practice Location Address:

500 WEST MAIN STREET , SUITE 108
BABYLON, NY
11702-3028

Practice Phone: 631-240-2277
Practice Fax: 631-517-8007

1083917835 — DR. COSMIN DASCALU MD
Practice Location Address:

500 W MAIN ST STE 110
BABYLON, NY
11702-3028

Practice Phone: 631-376-2663
Practice Fax: 631-376-4800

1548569783 — DR. SUNJIT S JASPAL M.D.
Practice Location Address:

500 W MAIN ST STE 204
BABYLON, NY
11702-3028

Practice Phone: 631-635-5800
Practice Fax: 631-587-7798

1790123289 — MAHJABEEN HAQ D.O.
Practice Location Address:

500 W MAIN ST STE 110
BABYLON, NY
11702-3028

Practice Phone: 631-376-2663
Practice Fax: 631-376-4800

Directions to “ NICOLE SCALA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.