Beth Tami Schoen

Individual provider Active NPI Specialist · Central Valley, NY

NPI 1194178947 · NPPES record last updated Jul 18, 2016

Key facts

NPI
1194178947
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
License
239905031 (NY)
Practice address
375 Route 32
Central Valley, NY 10917
Phone
(845) 827-6364
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
239905031NYMDSpecialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 239905031 NY Yes

Addresses

Primary practice location

375 Route 32
Central Valley, NY 10917

Mailing address

PO Box 489
Highland Mills, NY 10930-0489
Phone (845) 827-6364

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 18, 2016.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1194178947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109300489",
            "telephone_number": "845-827-6364",
            "fax_number": "845-827-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 ROUTE 32",
            "city": "CENTRAL VALLEY",
            "state": "NY",
            "postal_code": "10917",
            "telephone_number": "845-827-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOEN",
        "first_name": "BETH",
        "middle_name": "TAMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "239905031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Valley, NY

All providers in Central Valley, NY · Specialist in New York

Sources for this page

Verify at the official NPI Registry.