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

Scott Vaughan, DO

Individual provider Internal Medicine Physician · NPI 1558976613

Scott Vaughan, DO is a Hospitalist in Staten Island, New York. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2021, 5 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

475 Seaview Ave
Staten Island, NY 10305-3436
Phone: (187) 226-6902
Fax: (718) 226-6844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 375 Seguine Ave, Staten Island, NY 10309-3932 — (718) 226-6902

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 331991 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 331991 (NY)

Record details

NPI number1558976613
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedSeptember 14, 2020
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2021 (5 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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