Individual provider Active NPI

Roy Schneiderman, MD

  • Neonatal-Perinatal Medicine Physician
  • Pinehurst, NC
National Provider Identifier
1104840248
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
9500713 Issued in NC
Practice address
655 Lake Dornoch Drive
Pinehurst, NC 28374-7135
Phone
(910) 692-2712
NPI assigned
Jul 26, 2006
Last updated
Dec 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 9500713 NC Primary

Addresses

Primary practice location

655 Lake Dornoch Drive
Pinehurst, NC 28374-7135

Mailing address

655 Lake Dornoch Dr
Pinehurst, NC 28374-7135
Phone (910) 692-2712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110526000601 KY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 4385821495
I20170105001595 NC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 4385821495

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9500713NCMDNeonatal-Perinatal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1104840248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 LAKE DORNOCH DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747135",
            "telephone_number": "910-692-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 LAKE DORNOCH DRIVE",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747135",
            "telephone_number": "910-692-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDERMAN",
        "first_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NC",
            "license": "9500713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.