Individual provider Active NPI

Paul E Schneck, M.D.

  • Psychiatry Physician
  • Englewood, NJ
National Provider Identifier
1477560985
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA025228 Issued in NJ
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

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
082718OtherNYMEDICAL LICENSE
25MA025228OtherNJMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20080603000416 NY Practitioner - Psychiatry 8820168834 Reassigns benefits to 1 organization
I20091124000443 NJ Practitioner - Psychiatry 8820168834 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
25MA025228NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul E Schneck MD PC Psychiatry CurrentSince Oct 1, 1991 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

Verify at the official NPI Registry.