NPIMap

Individual provider Active NPI

Robert J Schanzer, M.D.

  • Cardiovascular Disease Physician
  • Edison, NJ
National Provider Identifier
1114923661
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA07573900 Issued in NJ
Practice address
1 Ethel Rd
Suite 106D
Edison, NJ 08817-2838
Phone
(732) 650-0040
Fax
(732) 650-0045
NPI assigned
Jun 21, 2005
Last updated
Mar 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA07573900 NJ Primary

Addresses

Primary practice location

1 Ethel Rd
Suite 106D
Edison, NJ 08817-2838

Mailing address

1 Ethel Rd
Suite #106D
Edison, NJ 08817-2838
Phone (732) 650-0040

Other identifiers 1

IdentifierTypeStateIssuer
0010341MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050908000834 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4587696786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Ethel Rd
Edison, NJ 08817-2838

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cardiovascular Medicine, LLC Cardiovascular Disease CurrentSince Jul 15, 2006 Accepting new patients
Robert Wood Johnson Physician Enterprise Cardiovascular Disease PastSince Sep 1, 2014 Accepting new patients
Community Hospital Group, Inc Past Accepting new patients

Locations

1 Ethel Rd
Ste 106D
Edison, NJ 08817
Phone (732) 605-0040

4 Ethel Rd
Ste 405B
Edison, NJ 08817
Phone (732) 287-0255

Interoperability endpoints

  • Direct secure messaging: robert.schanzer@advancedcardiovascularmedllc.ehi.direct-ci.com

Organizations & group practices 3

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

Hospital & facility affiliations 10

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1114923661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ETHEL RD",
            "address_2": "SUITE #106D",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172838",
            "telephone_number": "732-650-0040",
            "fax_number": "732-650-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ETHEL RD",
            "address_2": "SUITE 106D",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172838",
            "telephone_number": "732-650-0040",
            "fax_number": "732-650-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHANZER",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA07573900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010341",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.