Individual provider Active NPI

Michael Edward Schimler, M.D.

  • Emergency Medicine Physician
  • Essex Fells, NJ
National Provider Identifier
1205835030
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA05191600 Issued in NJ
Practice address
19 Holly LN
Essex Fells, NJ 07021-1208
Phone
(973) 618-0163
NPI assigned
Jul 14, 2005
Last updated
Jul 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA05191600 NJ Primary

Addresses

Primary practice location

19 Holly LN
Essex Fells, NJ 07021-1208

Mailing address

19 Holly LN
Essex Fells, NJ 07021-1208
Phone (973) 618-0163

Other identifiers 3

IdentifierTypeStateIssuer
P00477762OtherNJMEDICARE RAILROAD CARRIER
25073OtherNJUHP NON PAR #
0594300MedicaidNJ

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

LicenseStateTypeSpecialty
25MA05191600NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey City Medical Center Emergency Medicine Past Accepting new patients
Greenville Hospital Emergency Medicine Past Accepting new patients
Tidal Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Hoboken Emergency Physicians, PC Emergency Medicine Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1205835030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HOLLY LN",
            "city": "ESSEX FELLS",
            "state": "NJ",
            "postal_code": "070211208",
            "telephone_number": "973-618-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HOLLY LN",
            "city": "ESSEX FELLS",
            "state": "NJ",
            "postal_code": "070211208",
            "telephone_number": "973-618-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIMLER",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA05191600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "P00477762",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHP NON PAR #",
            "identifier": "25073",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0594300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Fells, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.