Individual provider Active NPI

Nicholas Jacob Schor, MD

  • Psychiatry Physician
  • Olney, MD
National Provider Identifier
1265444574
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0059825 Issued in MD
Practice address
5004 Continental Dr
Olney, MD 20832-2973
Phone
(301) 774-7060
Fax
(301) 774-7064
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0059825 MD Primary

Addresses

Primary practice location

5004 Continental Dr
Olney, MD 20832-2973

Mailing address

5004 Continental Dr
Olney, MD 20832-2973
Phone (301) 774-7060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2013 through Oct 1, 2027

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Howard University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 S Patterson Park Ave
Baltimore, MD 21231-2123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0059825MDMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1265444574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 CONTINENTAL DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322973",
            "telephone_number": "301-774-7060",
            "fax_number": "301-774-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 CONTINENTAL DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322973",
            "telephone_number": "301-774-7060",
            "fax_number": "301-774-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOR",
        "first_name": "NICHOLAS",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0059825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.