Active NPI
Elliot Slomovits Schreiber, D.M.D.
- Dentist
- New York, NY
National Provider Identifier
1265664197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 054546
- Practice address
- 42 Broadway
Suite 1515
New York, NY 10004-1617 - Phone
- (212) 269-6655
- NPI assigned
- Aug 11, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 054546 | NY | Primary |
Addresses
Primary practice location
42 Broadway
Suite 1515
New York, NY 10004-1617
Mailing address
311 W 95TH St
Apt 3B
New York, NY 10025-6103
Phone (516) 841-6247
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054546 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249948800000",
"number": "1265664197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 W 95TH ST",
"address_2": "APT 3B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256103",
"telephone_number": "516-841-6247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 BROADWAY",
"address_2": "SUITE 1515",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100041617",
"telephone_number": "212-269-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHREIBER",
"first_name": "ELLIOT",
"middle_name": "SLOMOVITS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-11",
"last_updated": "2009-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "054546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.