Active NPI
Jeffrey Schneller DPM PC
- Podiatrist
- Sunnyside, NY
National Provider Identifier
1366798381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N004139-1
- Legal business name
- JEFFREY SCHNELLER DPM PC
- Practice address
- 4555 43Rd St
Sunnyside, NY 11104-2609 - Phone
- (718) 729-1952
- Fax
- (718) 706-0170
- NPI assigned
- Jul 27, 2012
- 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 Alan Schneller, D.P.M., P.C.
- Title
- President
- Phone
- (718) 672-8266
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N004139-1 | NY | Primary |
Addresses
Primary practice location
4555 43Rd St
Sunnyside, NY 11104-2609
Mailing address
4555 43Rd St
Sunnyside, NY 11104-2609
Phone (718) 729-1952
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00966610 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
4555 43rd St
Sunnyside, NY 11104
Phone (718) 365-0256
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Bronx, NY
- NPI 1518946714
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Woodside, NY
- NPI 1982646253
-
- Gastroenterology Physician
- Woodside, NY
- NPI 1497797708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348444800000",
"number": "1366798381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4555 43RD ST",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "111042609",
"telephone_number": "718-729-1952",
"fax_number": "718-706-0170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4555 43RD ST",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "111042609",
"telephone_number": "718-729-1952",
"fax_number": "718-706-0170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY SCHNELLER DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-27",
"last_updated": "2012-09-24",
"status": "A",
"authorized_official_last_name": "SCHNELLER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-672-8266",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M., P.C."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NY",
"license": "N004139-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00966610",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.