Organization Active NPI

CDX Diagnostics, Inc.

Doing business as CDx Diagnostics

  • Clinical Medical Laboratory
  • Suffern, NY
National Provider Identifier
1427273598
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
133142-1 Issued in NY
Legal business name
CDX DIAGNOSTICS, INC.
Doing business as
CDx Diagnostics
Practice address
2 Executive Blvd Ste 102
Suffern, NY 10901-8217
Phone
(845) 369-7096
Fax
(845) 369-1743
NPI assigned
Apr 16, 2007
Last updated
Jun 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Dr. Jacob Schreiber, MD
Title
Laboratory Director
Phone
(845) 368-7448

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU
Clinical Medical Laboratory 291U00000X 133142-1 NY Primary

Addresses

Primary practice location

2 Executive Blvd Ste 102
Suffern, NY 10901-8217

Mailing address

2 Executive Blvd Ste 102
Suffern, NY 10901-8217
Phone (845) 369-7096

Other names 1

  • CDx Diagnostics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070607000109 NY Part B Supplier - Independent Clinical Laboratory 5193823607 Practice locations: Suffern, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0952202CDX Diagnostics, Inc2 Executive Blvd Suite 102, Suffern, NY 10901ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Locations

2 Executive Blvd
Ste 102
Suffern, NY 10901
Phone (845) 369-7096

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1427273598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE BLVD STE 102",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109018217",
            "telephone_number": "845-369-7096",
            "fax_number": "845-369-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE BLVD STE 102",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109018217",
            "telephone_number": "845-369-7096",
            "fax_number": "845-369-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDX DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "845-368-7448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "133142-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDx Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CDx Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.