Organization Active NPI

Paul I Schneiderman, MD PC

  • Point of Service
  • Syosset, NY
National Provider Identifier
1104057538
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
131988 Issued in NY
Legal business name
PAUL I SCHNEIDERMAN, MD PC
Practice address
175 Jericho Tpke Ste 224
Syosset, NY 11791-4538
Phone
(516) 921-8688
Fax
(516) 921-8552
NPI assigned
Aug 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Dr. Paul I Schneiderman, MD PCNPI 1073543567
Title
Doctor
Phone
(516) 921-8688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 131988 NY Primary

Addresses

Primary practice location

175 Jericho Tpke Ste 224
Syosset, NY 11791-4538

Mailing address

175 Jericho Tpke Ste 224
Syosset, NY 11791-4538
Phone (516) 921-8688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090828000408 NY Part B Supplier - Clinic/Group Practice 6901951839 Receives reassigned benefits from 1 practitioner
Practice locations: Syosset, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0686835Paul I Schneiderman MD Faad PC175 Jericho Turnpike Suite 224, Syosset, NY 11791Provider-performed microscopyJan 22, 2027

National Provider Directory

National Provider Directory

Locations

175 Jericho Tpke
Ste 224
Syosset, NY 11791
Phone (516) 921-8688

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1104057538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE STE 224",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914538",
            "telephone_number": "516-921-8688",
            "fax_number": "516-921-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE STE 224",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914538",
            "telephone_number": "516-921-8688",
            "fax_number": "516-921-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL I SCHNEIDERMAN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDERMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "516-921-8688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "131988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.