Basic Information
| Provider Information | |||||||||
| NPI: | 1407879695 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCARPINATO | ||||||||
| FirstName: | LEN | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1000 PARK CENTRE BLVD | ||||||||
| Address2: | CHEN MEDICAL MIAMI GARDENS SUITE 136 | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331695373 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3056210023 | ||||||||
| FaxNumber: | 3056239188 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 PARK CENTRE BLVD | ||||||||
| Address2: | CHEN MEDICAL MIAMI GARDENS SUITE 136 | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331695373 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3056210023 | ||||||||
| FaxNumber: | 3056239188 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2006 | ||||||||
| LastUpdateDate: | 11/01/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 31819-021 | WI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 036124548 | IL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 036124548 | 05 | IL | MEDICAID | 31779000 | 05 | WI | MEDICAID | P00467334 | 01 | WI | RR MEDICARE | OTHER | P00116803 | 01 | WI | MEDICARE RAILROAD | OTHER |