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

Serita Scullark

Individual provider Nurse Practitioner · NPI 1437958089

Serita Scullark is a Nurse Practitioner in Chappaqua, New York. Qualified in 2024, 2 years ago. Practices with Attentive Care General Practice of Medicine of Nj, PC, an 8-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025

Practice location Address checks out

480 Bedford Rd
Chappaqua, NY 10514-1715
Phone: (914) 223-1700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 312094 (NY)

Record details

NPI number1437958089
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 7, 2025
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address480 Bedford Rd, Chappaqua, NY 10514-1715

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Attentive Care General Practice Of Medicine Of Nj, Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Chappaqua