Healthcare Provider Details

I. General information

NPI: 1962927251
Provider Name (Legal Business Name): SCOPE & BLOOD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2017
Last Update Date: 09/02/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 RICHMOND AVE
STATEN ISLAND NY
10312-3848
US

IV. Provider business mailing address

3710 RICHMOND AVE
STATEN ISLAND NY
10312-3848
US

V. Phone/Fax

Practice location:
  • Phone: 718-450-0515
  • Fax: 718-450-0071
Mailing address:
  • Phone: 718-450-0515
  • Fax: 718-450-0071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. REWAIS MORCUS
Title or Position: MD
Credential: MD
Phone: 718-450-0515