Active NPI
Paul E Schneck, M.D.
- Psychiatry Physician
- Englewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA025228
- Practice address
- 163 Engle St Ste 1a
Englewood, NJ 07631-2530 - Phone
- (201) 568-0505
- Fax
- (201) 871-0031
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA025228 | NJ | Primary |
Addresses
Primary practice location
163 Engle St Ste 1a
Englewood, NJ 07631-2530
Mailing address
163 Engle St Ste 1a
Englewood, NJ 07631-2530
Phone (201) 568-0505
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 082718 | Other | NY | MEDICAL LICENSE |
| 25MA025228 | Other | NJ | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- New York Medical College, 1958
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
16 E 79TH St
Suite 33
New York, NY 10075-0150
Phone (212) 517-2908
163 Engle St BLDG
1A Suite 1
Englewood, NJ 07631-2535
Phone (201) 568-0505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA025228 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul E Schneck MD PC | Psychiatry | Current | Accepting new patients |
Locations
163 Engle St
Ste 1A
Englewood, NJ 07631
Phone (201) 568-0505
200 Engle St
Ste 27
Englewood, NJ 07631
Phone (201) 568-0505
16 E 79th St
Ste 33
New York, NY 10075
Phone (212) 517-2908
Organizations & group practices 1
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": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561680000000",
"number": "1477560985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 ENGLE ST STE 1A",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312530",
"telephone_number": "201-568-0505",
"fax_number": "201-871-0031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 ENGLE ST STE 1A",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312530",
"telephone_number": "201-568-0505",
"fax_number": "201-871-0031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNECK",
"first_name": "PAUL",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2019-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA025228",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "082718",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "25MA025228",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.
- 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.