Individual provider Active NPI

Barry Jay Schoenberg, DPM

  • Podiatrist
  • Pomona, NY
National Provider Identifier
1104833078
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N002983 Issued in NY
Practice address
11 Medical Park Dr
Suite 206
Pomona, NY 10970-3559
Phone
(845) 362-0100
Fax
(845) 362-0112
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N002983 NY Primary

Addresses

Primary practice location

11 Medical Park Dr
Suite 206
Pomona, NY 10970-3559

Mailing address

11 Medical Park Dr
Suite 206
Pomona, NY 10970-3559
Phone (845) 362-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080327000430 NY Practitioner - Podiatry 6305922527 Reassigns benefits to 1 organization
I20100820000337 NJ Practitioner - Podiatry 6305922527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palisades Podiatry Associates LLPGroup PAC ID 9638229479, 2 clinicians

Practice addresses (Care Compare)

11 Medical Park Dr
Suite 206
Pomona, NY 10970-3560
Phone (845) 362-0100

Hospital & facility affiliations

  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158
  • Nyack Hospital Hospital, Nyack, NY, CCN 330104

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of skin lesions13
Removal of nail tissue763
Removal or shaving of skin growth86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N002983NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Palisades Podiatry Associates LLP Podiatrist CurrentSince Jun 1, 1986 Accepting new patients

Locations

400 Franklin Tpke
Mahwah, NJ 07430
Phone (201) 760-1550

11 Medical Park Dr
Ste 206
Pomona, NY 10970
Phone (845) 362-0100

19 Old Tappan Rd
Tappan, NY 10983
Phone (845) 359-1200

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242000000000",
    "number": "1104833078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MEDICAL PARK DR",
            "address_2": "SUITE 206",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703559",
            "telephone_number": "845-362-0100",
            "fax_number": "845-362-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MEDICAL PARK DR",
            "address_2": "SUITE 206",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703559",
            "telephone_number": "845-362-0100",
            "fax_number": "845-362-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENBERG",
        "first_name": "BARRY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2009-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N002983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

Verify at the official NPI Registry.