Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mary Jean Scourboutakos, MD, PHD

Individual provider Family Medicine Physician · NPI 1184310104

Dr. Mary Jean Scourboutakos, MD, PHD is a Family Practice in Bronx, New York. Graduated from University of Toronto, Faculty of Medicine in 2021, 5 years ago. Practices with The Institute for Family Health, a 191-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Trained at
University of Toronto, Faculty of Medicine
Licensed in
NY
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

731 White Plains Rd
Bronx, NY 10473-2631
Phone: (718) 589-8775
Fax: (845) 633-5766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 335325 (NY)

Record details

NPI number1184310104
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedApril 13, 2023
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TORONTO, FACULTY OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice The Institute For Family Health — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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