Ronald Schenendorf, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

131649 Issued in NY

Practice address

19 Hilo Drive
Shelter Island, NY 11964-1588

Phone

(516) 627-2726

Fax

(516) 750-9085

NPI assigned

Oct 4, 2006

Last updated

Aug 23, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Advantage Care Diagnostic and Treatment Center ,Inc

  • Federally Qualified Health Center (FQHC)
  • Brookville, NY
  • NPI 1073689600
  Medicare reassignment NPD
• Ronald Schenendorf MD PC

  • Psychoanalyst
  • Shelter Island, NY
  • NPI 1164694394
  Authorized official Same address or phone
• Acld Kramer Learning Center

  • Developmental Disabilities Clinic/Center
  • Bay Shore, NY
  • NPI 1942565015
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1447346069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1588",
            "city": "SHELTER ISLAND",
            "state": "NY",
            "postal_code": "119641588",
            "telephone_number": "516-627-2726",
            "fax_number": "516-750-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HILO DRIVE",
            "city": "SHELTER ISLAND",
            "state": "NY",
            "postal_code": "119641588",
            "telephone_number": "516-627-2726",
            "fax_number": "516-750-9085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Willow Dr",
            "address_purpose": "LOCATION",
            "city": "Port Washington",
            "state": "NY",
            "postal_code": "110504127",
            "country_code": "US",
            "telephone_number": "516-627-2726",
            "fax_number": "516-944-2488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHENENDORF",
        "first_name": "RONALD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "131649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Phillips-Cole, MD
• Joshua Potter, D.O.
• Prime Care Services Inc.
• John T Reilly, PA-C
• Ronald Schenendorf MD PC
• Shelter Island Podiatry
• Frank Spinosa, D.P.M.
• Winthrop Community Medical Affiliates, PC (Winthrop Medical Affiliates at Shelter Island)

• Psychiatry Physician in Shelter Island, NY
• Providers in Shelter Island, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.