Provider Demographics
NPI:1396017919
Name:SCOGGIN-THOMAS, AYANNA BARIKA (MD)
Entity Type:Individual
Prefix:
First Name:AYANNA
Middle Name:BARIKA
Last Name:SCOGGIN-THOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AYANNA
Other - Middle Name:BARIKA
Other - Last Name:SCOGGIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:264 SOUTH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6078
Mailing Address - Country:US
Mailing Address - Phone:973-631-8119
Mailing Address - Fax:
Practice Address - Street 1:100 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960
Practice Address - Country:US
Practice Address - Phone:973-971-5548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-27
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY263815-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology