Organization Active NPI

Jeffrey P Schachne MD

  • Dermatology Physician
  • Jefferson Valley, NY
National Provider Identifier
1245405513
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
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

Updated by the provider on Apr 28, 2008

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
30E301OtherNYBCBS
14684OtherNYAETNA
WS233OtherNYOXFORD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.