Active NPI
Elite Medical,PC
- Internal Medicine Physician
- Smithtown, NY
National Provider Identifier
1235201328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ELITE MEDICAL,PC
- Practice address
- 373 Route 111
Suite 14
Smithtown, NY 11787-4759 - Phone
- (631) 265-0146
- Fax
- (631) 265-0204
- NPI assigned
- Nov 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jay L Schneider, M.D.
- Title
- Vice President
- Phone
- (631) 265-0146
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
373 Route 111
Suite 14
Smithtown, NY 11787-4759
Mailing address
373 Route 111
Suite 14
Smithtown, NY 11787-4759
Phone (631) 265-0146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB1079 | Other | NY | RR MEDICARE |
| 00658957 | Medicaid | NY |
Other names 1
- silverberg and nierman,md,pc
National Provider Directory
National Provider DirectoryLocations
50 Route 111
Ste 102
Smithtown, NY 11787
Phone (631) 265-0050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220313600000",
"number": "1235201328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "373 ROUTE 111",
"address_2": "SUITE 14",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117874759",
"telephone_number": "631-265-0146",
"fax_number": "631-265-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "373 ROUTE 111",
"address_2": "SUITE 14",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117874759",
"telephone_number": "631-265-0146",
"fax_number": "631-265-0204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE MEDICAL,PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2008-09-02",
"status": "A",
"authorized_official_last_name": "SCHNEIDER",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "631-265-0146",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CB1079",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00658957",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "silverberg and nierman,md,pc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.