Active NPI
Jeffrey P Schachne MD
- Dermatology Physician
- Jefferson Valley, NY
National Provider Identifier
1245405513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- JEFFREY P SCHACHNE MD
- Practice address
- 3630 Hill Blvd
Suite 101
Jefferson Valley, NY 10535-1502 - Phone
- (914) 962-6222
- NPI assigned
- Apr 28, 2008
- 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. Jeffrey P Schachne, MD
- Title
- Owner
- Phone
- (914) 962-6222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
3630 Hill Blvd
Suite 101
Jefferson Valley, NY 10535-1502
Mailing address
3630 Hill Blvd
Suite 101
Jefferson Valley, NY 10535-1502
Phone (914) 962-6222
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30E301 | Other | NY | BCBS |
| 14684 | Other | NY | AETNA |
| WS233 | Other | NY | OXFORD |
National Provider Directory
National Provider DirectoryLocations
3630 Hill Blvd
Ste 101
Jefferson Vly, NY 10535
Phone (914) 245-7100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209340800000",
"number": "1245405513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3630 HILL BLVD",
"address_2": "SUITE 101",
"city": "JEFFERSON VALLEY",
"state": "NY",
"postal_code": "105351502",
"telephone_number": "914-962-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 HILL BLVD",
"address_2": "SUITE 101",
"city": "JEFFERSON VALLEY",
"state": "NY",
"postal_code": "105351502",
"telephone_number": "914-962-6222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY P SCHACHNE MD",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-28",
"last_updated": "2008-04-28",
"status": "A",
"authorized_official_last_name": "SCHACHNE",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "914-962-6222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "30E301",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "14684",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "WS233",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.