Active NPI
Jonathan A Schneider, MD
- Anesthesiology Physician
- New Haven, CT
National Provider Identifier
1124039227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 021189
- Practice address
- 1423 Chapel St
Anesthesia Associates of New Haven
New Haven, CT 06511 - Phone
- (203) 789-3538
- Fax
- (203) 867-5461
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 021189 | CT | Primary |
Addresses
Primary practice location
1423 Chapel St
Anesthesia Associates of New Haven
New Haven, CT 06511
Mailing address
1423 Chapel St
Anesthesia Associates of New Haven
New Haven, CT 06511
Phone (203) 789-3538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1211895 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021189 | CT | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124039227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1423 CHAPEL ST",
"address_2": "ANESTHESIA ASSOCIATES OF NEW HAVEN",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06511",
"telephone_number": "203-789-3538",
"fax_number": "203-867-5461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1423 CHAPEL ST",
"address_2": "ANESTHESIA ASSOCIATES OF NEW HAVEN",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06511",
"telephone_number": "203-789-3538",
"fax_number": "203-867-5461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "JONATHAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CT",
"license": "021189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1211895",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.