Individual provider Active NPI

Adam Jason Schneider, MD

  • Neurology Physician
  • Jericho, NY
National Provider Identifier
1124137948
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
198871 Issued in NY
Practice address
380 N Broadway Ste 307
Jericho, NY 11753-2109
Phone
(516) 367-8040
Fax
(516) 333-6160
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 198871 NY Primary

Addresses

Primary practice location

380 N Broadway Ste 307
Jericho, NY 11753-2109

Mailing address

380 N Broadway Ste 307
Jericho, NY 11753-2109
Phone (516) 367-8040

Other identifiers 18

IdentifierTypeStateIssuer
198871-A15OtherHEALTH FIRST
202545554OtherCNA
3099052OtherGHI
202545554OtherTAX ID
3854838OtherHMO
4C8538OtherHEALTHNET (PHS)
600N91OtherEMPIRE BCBS
7206299OtherHMO PPO
010198871NY01OtherANTHEM
202545554OtherEMPIRE GOV (UHC)
196919POtherHIP
198871OtherHIP HEALTHCARE PART.
202545554OtherHORIZON
202545554OtherBEECH STREET
5901563OtherPPO
MCA140402OtherAMERICHOICE
01749664MedicaidNY
202545554OtherCHUBB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050118000983 NY Practitioner - Neurology 5496704314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Albert Einstein College of Medicine of Yeshiva University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

380 N Broadway
Suite 307
Jericho, NY 11753-2109
Phone (516) 367-8040

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adam J Schneider MDPC Neurology CurrentSince Mar 3, 2005 Accepting new patients
Scott Bloom MD PC Past Accepting new patients

Locations

99 Jericho Tpke
Ste 206
Jericho, NY 11753
Phone (516) 338-2900

380 N Broadway
Jericho, NY 11753
Phone (516) 931-1776

380 N Broadway
Ste 307
Jericho, NY 11753
Phone (516) 367-8040

8243 Jericho Tpke
Ste 280
Woodbury, NY 11797
Phone (516) 367-8040

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1124137948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 N BROADWAY STE 307",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532109",
            "telephone_number": "516-367-8040",
            "fax_number": "516-333-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N BROADWAY STE 307",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532109",
            "telephone_number": "516-367-8040",
            "fax_number": "516-333-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "ADAM",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-07-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "198871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "198871-A15",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNA",
            "identifier": "202545554",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "3099052",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "202545554",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "3854838",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET (PHS)",
            "identifier": "4C8538",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "600N91",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO PPO",
            "identifier": "7206299",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "010198871NY01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE GOV (UHC)",
            "identifier": "202545554",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "196919P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP HEALTHCARE PART.",
            "identifier": "198871",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "202545554",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "202545554",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO",
            "identifier": "5901563",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "MCA140402",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01749664",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHUBB",
            "identifier": "202545554",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

Verify at the official NPI Registry.