Organization Active NPI

Jennifer Schoenfeld, D.O., P.C.

  • Physical Medicine & Rehabilitation Physician
  • West Hempstead, NY
National Provider Identifier
1104392976
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
JENNIFER SCHOENFELD, D.O., P.C.
Practice address
669 Colonade Rd
West Hempstead, NY 11552-3101
Phone
(516) 724-0488
Fax
(347) 602-4628
NPI assigned
Oct 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Authorized official

Name
Dr. Jennifer Schoenfeld, D.ONPI 1437460524
Title
Principal
Phone
(516) 724-0488

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
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

669 Colonade Rd
West Hempstead, NY 11552-3101

Mailing address

669 Colonade Rd
West Hempstead, NY 11552-3101
Phone (516) 724-0488

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181218000083 NY Part B Supplier - Clinic/Group Practice 5799020954 Receives reassigned benefits from 1 practitioner
Practice locations: East Meadow, NY; Hempstead, NY

National Provider Directory

National Provider Directory

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": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1104392976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 COLONADE RD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523101",
            "telephone_number": "516-724-0488",
            "fax_number": "347-602-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 COLONADE RD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523101",
            "telephone_number": "516-724-0488",
            "fax_number": "347-602-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER SCHOENFELD, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "SCHOENFELD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "516-724-0488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.