Individual provider Active NPI

Steven S. Schiebert, D.O.

  • Orthopaedic Surgery Physician
  • Staten Island, NY
National Provider Identifier
1205042546
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
00692 Issued in RI
Practice address
1975 Hylan Blvd
Suite 1
Staten Island, NY 10306-3523
Phone
(718) 667-5400
Fax
(888) 255-0370
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 00692 RI Primary

Addresses

Primary practice location

1975 Hylan Blvd
Suite 1
Staten Island, NY 10306-3523

Mailing address

1975 Hylan Blvd
Suite 1
Staten Island, NY 10306-3523
Phone (718) 667-5400

Other identifiers 1

IdentifierTypeStateIssuer
SS906601MedicaidRI

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
00692RIMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1205042546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 HYLAN BLVD",
            "address_2": "SUITE 1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063523",
            "telephone_number": "718-667-5400",
            "fax_number": "888-255-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 HYLAN BLVD",
            "address_2": "SUITE 1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063523",
            "telephone_number": "718-667-5400",
            "fax_number": "888-255-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIEBERT",
        "first_name": "STEVEN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "RI",
            "license": "00692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS906601",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.