Doctor profile · Federal record

Dr. Mariella Scrudato, PA-C

Physician Assistant · Valley Stream, NY

  • NPI 1407402126
  • 7 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 3 locations .

NPPES Updated May 11, 2026
Primary practice
65 Roosevelt Ave
Valley Stream, NY 115811151
(516) 622-3490
Additional location
11412 Beach Channel Dr
Rockaway Park, NY 116942212
(718) 474-3375
Additional location
167 E Merrick RD
Valley Stream, NY 115805925
(516) 825-3030

Credentials & registration

NPPES · NUCC
NPI registered
August 2019 — 7 yrs on file
Profile last updated
July 20, 2023
Specialty taxonomy
363A00000X — NUCC code
State license (1)
New York #024647

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1407402126. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$93
Transactions
4
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
Novartis Pharmaceuticals Corporation 2 $39.61
kaleo, Inc. 1 $32.00
GlaxoSmithKline, LLC. 1 $21.56

By nature of payment

Food and Beverage
$93

Frequently asked questions

Auto-generated from federal data
What is Dr. Mariella Scrudato's medical specialty?
Dr. Mariella Scrudato practices Physician Assistant in Valley Stream, NY.
Where does Dr. Mariella Scrudato practice?
Dr. Mariella Scrudato practices at 65 Roosevelt Ave, Valley Stream, NY 115811151. Office phone: 5166223490.
What is Dr. Mariella Scrudato's NPI?
Dr. Mariella Scrudato's National Provider Identifier (NPI) is 1407402126, issued by NPPES.