Individual provider Active NPI

Rimma Shnaydman, DO MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1245338029
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
205670 Issued in NY
Practice address
396 Avenue X
Brooklyn, NY 11223-6008
Phone
(718) 336-4499
Fax
(718) 336-2013
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 205670 NY Primary

Addresses

Primary practice location

396 Avenue X
Brooklyn, NY 11223-6008

Mailing address

396 Avenue X
Brooklyn, NY 11223-6008
Phone (718) 376-6500

Other identifiers 1

IdentifierTypeStateIssuer
01818111MedicaidNY

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, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ave X Medical Testing Corp CurrentSince Dec 7, 2025 Accepting new patients

Locations

400 Avenue X
Brooklyn, NY 11223
Phone (347) 645-3044

2727 Coney Island Ave
Ste 1B
Brooklyn, NY 11235
Phone (718) 376-6500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1245338029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236008",
            "telephone_number": "718-376-6500",
            "fax_number": "718-376-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236008",
            "telephone_number": "718-336-4499",
            "fax_number": "718-336-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHNAYDMAN",
        "first_name": "RIMMA",
        "credential": "DO MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "205670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01818111",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.