Individual provider Active NPI

William Kempton Jeffrey Skinner, M.D.

  • Radiation Oncology Physician
  • New York, NY
National Provider Identifier
1407994155
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
0101231625 Issued in VA
Practice address
201 E 86TH St
30F
New York, NY 10028-3023
Phone
(757) 871-8714
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 0101231625 VA Primary

Addresses

Primary practice location

201 E 86TH St
30F
New York, NY 10028-3023

Mailing address

201 E 86TH St
30F
New York, NY 10028-3023
Phone (757) 871-8714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NY2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200221001640 DC Practitioner - Radiation Oncology 3072811769 Reassigns benefits to 1 organization
I20230131001322 NY Practitioner - Radiation Oncology 3072811769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Oct 14, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Oct 14, 2022 Accepting new patients
Chesapeake Urology Associates, LLC CurrentSince Mar 28, 2020 Accepting new patients
St. Luke'S Cornwall JV, LLC Radiation Oncology CurrentSince Feb 1, 2023 Accepting new patients
Chesapeake Urology Associates LLC CurrentSince Mar 28, 2020 Accepting new patients

Locations

808 W Diamond Ave
Gaithersburg, MD 20878
Phone (240) 364-0900

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

12435 Park Potomac Ave
Ste 400
Potomac, MD 20854

3801 International Dr
Ste 310
Silver Spring, MD 20906
Phone (301) 598-9171

1625 Poplar St
Bronx, NY 10461
Phone (718) 405-8440

951 Brook Ave
Bronx, NY 10451
Phone (914) 629-0989

111 E 210th St
Bronx, NY 10467

15 Laurel Ave
#100
Cornwall, NY 12518
Phone (845) 458-9000

2 Longview Ave
White Plains, NY 10601
Phone (914) 681-2727

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: wiskinner@montefioredirect.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407994155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 86TH ST",
            "address_2": "30F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100283023",
            "telephone_number": "757-871-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 86TH ST",
            "address_2": "30F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100283023",
            "telephone_number": "757-871-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "WILLIAM",
        "middle_name": "KEMPTON JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "VA",
            "license": "0101231625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.