Organization Active NPI

Eliot P Schuster M.D. PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1336435007
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
214361 Issued in NY
Legal business name
ELIOT P SCHUSTER M.D. PC
Practice address
135 Eastern Pkwy
Brooklyn, NY 11238-6054
Phone
(718) 857-2975
NPI assigned
Jun 21, 2011
Last updated
Jul 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Authorized official

Name
Eliot Schuster, M.D.NPI 1760576086
Title
President
Phone
(718) 857-2975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 214361 NY Primary

Addresses

Primary practice location

135 Eastern Pkwy
Brooklyn, NY 11238-6054

Mailing address

3 Yale PL
Dix Hills, NY 11746-4854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110727000235 NY Part B Supplier - Clinic/Group Practice 6103094610 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1336435007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 YALE PL",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117464854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386054",
            "telephone_number": "718-857-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIOT P SCHUSTER M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "SCHUSTER",
        "authorized_official_first_name": "ELIOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-857-2975",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "214361",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.