DR. COREY S SCURLOCK (M.D.) – Anesthesiology Physician, NPI 1043295397

DR. COREY S SCURLOCK (M.D.) is a healthcare provider. based in Newark, New Jersey. specializing in Anesthesiology Physician. They hold the professional credentials M.D.. They hold a License No. 236413-1 (NY). The NPI Number for DR. COREY S SCURLOCK (M.D.) is 1043295397

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. COREY S SCURLOCK (M.D.)
NPI
1043295397
Phone
(212) 427-2666
Address
PO BOX 12023
Enumeration Date
9 December 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
9176085303
Graduation Year
2000 (26 years ago)
PAC ID
7719915388
Group Practice PAC ID
4880844521
Professional Enrollment ID
I20050803001180
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. COREY S SCURLOCK (M.D.)

  • PO BOX 12023

    NEWARK, NJ 071015023

    Phone: (212) 427-2666

    Fax: (212) 289-6929

    Type: Mailing

  • 1 GUSTAVE L LEVY PL

    ANESTHESIOLOGY - BOX 1010

    NEW YORK, NY 100296500

    Phone: (800) 627-4470

    Fax: (412) 937-5767

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050803001180IAnesthesiologyNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880844521View full group profile
NameSpecialtyState
Infectious Disease, Internal Medicine, Critical Care (Intensivists)NY
Critical Care (Intensivists), Internal Medicine, Internal Medicine, Critical Care (Intensivists)CO
Nurse PractitionerNY
Critical Care (Intensivists), General SurgeryNY
Pulmonary Disease, Internal MedicineFL
Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Interventional CardiologyFL
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseNY
Internal MedicineMI
Nurse PractitionerNJ
Critical Care (Intensivists), Internal MedicineFL

Reviews

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Frequently asked questions

What is the standard ID for DR. COREY S SCURLOCK (M.D.) in the U.S.?
In the U.S., DR. COREY S SCURLOCK (M.D.) is identified by NPI 1043295397.
Does the public listing show DR. COREY S SCURLOCK (M.D.) as active?
DR. COREY S SCURLOCK (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. COREY S SCURLOCK (M.D.)'s specialty?
The extract shows Anesthesiology Physician for DR. COREY S SCURLOCK (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. COREY S SCURLOCK (M.D.)?
DR. COREY S SCURLOCK (M.D.) shows a connection to Newark, New Jersey in registry-derived data.
Why is information missing for DR. COREY S SCURLOCK (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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