Jeffrey Schneller, D.P.M.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

NOO4139-1 Issued in NY

Practice address

4902 Queens Blvd
Woodside, NY 11377-4444

Phone

(718) 729-1952

Fax

(718) 706-0170

NPI assigned

Feb 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greater New York Gastroenterology, LLP

  • Gastroenterology Physician
  • Astoria, NY
  • NPI 1558375584
  NPD (past)
• Schnellrock Enterprises Inc.

  • Occupational Therapist
  • East Rockaway, NY
  • NPI 1700168457
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1407828924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MIDDLE CREEK RD",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184317623",
            "telephone_number": "516-398-9413",
            "fax_number": "718-706-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774444",
            "telephone_number": "718-729-1952",
            "fax_number": "718-706-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNELLER",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "NOO4139-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00966610",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saulius J Skeivys MD PC
• Catherine A. Saunders-Ortiz, PT ASSISTANT
• Clareese A Saunders, LMSW
• Susan Savitt
• Elizabeth Schmidt
• Elizabeth H Schoenfeld, LCSW
• Ivon Schreiber, OTA/L
• Maria Teresa Schreiber
• Karlin Schultz, DPT
• Scintilla Imaging Inc

• Primary Podiatric Medicine Podiatrist in Woodside, NY
• Providers in Woodside, NY by specialty
• Primary Podiatric Medicine Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.