Samuel Schenker OD, PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SAMUEL SCHENKER OD, PC

Practice address

14 Western Ave
Marlboro, NY 12542-0669

Phone

(845) 236-3341

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Samuel Schenker, ODNPI 1922006907

Title

Optometrist

Phone

(845) 236-3341

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Schenker

  • Optometrist
  • Marlboro, NY
  • NPI 1922006907

  NY, Optometrist

  Medicare reassignment NPD Authorized official
• Nicole Walker, O.D.

  • Optometrist
  • Greer, SC
  • NPI 1780656884
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1205930781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "address_2": "14 WESTERN AVE",
            "city": "MARLBORO",
            "state": "NY",
            "postal_code": "125420669",
            "telephone_number": "845-236-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WESTERN AVE",
            "city": "MARLBORO",
            "state": "NY",
            "postal_code": "125420669",
            "telephone_number": "845-236-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL SCHENKER OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "SCHENKER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "845-236-3341",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliza Marie Renaud, LPN
• Robert Resnikoff, LPN
• Lori Roscino, COTA
• Dawn D Roth, RN BSN
• Chantel Russ
• Colleen B Schafer, CCC/SLP
• Samuel Schenker
• Ronda E Secor, LPN
• Nicole Marie Serini, LMHC
• Dawn Spotards

• All providers in Marlboro, NY
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.