Individual provider Active NPI

Roger Glenn Schneider, M.D.

  • Obstetrics & Gynecology Physician
  • Lockport, NY
National Provider Identifier
1083670681
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
148458 Issued in NY
Practice address
Ulrich City Centre
Suite 7
Lockport, NY 14094-5368
Phone
(716) 433-1941
Fax
(716) 439-1233
NPI assigned
Apr 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 148458 NY Primary

Addresses

Primary practice location

Ulrich City Centre
Suite 7
Lockport, NY 14094-5368

Mailing address

Ulrich City Centre
Suite 7
Lockport, NY 14094-5368
Phone (716) 433-1941

Other identifiers 1

IdentifierTypeStateIssuer
00776072MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210920000720 NY Practitioner - Obstetrics/Gynecology 8820032386 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
148458NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookview Medical Associates, PLLC CurrentSince Sep 1, 2021 Accepting new patients
Eastern Niagara OB/GYN, PC Obstetrics & Gynecology CurrentSince Jan 15, 1993 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

175 Walnut St
Ste 7
Lockport, NY 14094
Phone (716) 433-1941

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083670681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ULRICH CITY CENTRE",
            "address_2": "SUITE 7",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945368",
            "telephone_number": "716-433-1941",
            "fax_number": "716-439-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ULRICH CITY CENTRE",
            "address_2": "SUITE 7",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945368",
            "telephone_number": "716-433-1941",
            "fax_number": "716-439-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "ROGER",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "148458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00776072",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.