Active NPI
Jac D Scheiner, M.D.
- Diagnostic Radiology Physician
- Flushing, NY
National Provider Identifier
1508829243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 227301
- Practice address
- 5645 Main St
Flushing, NY 11355-5045 - Phone
- (718) 670-1594
- Fax
- (718) 670-1901
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 227301 | NY | |
| Neuroradiology Physician | 2085N0700X | 227301 | NY | |
| Nuclear Radiology Physician | 2085N0904X | 227301 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 227301 | NY | Primary |
| Therapeutic Radiology Physician | 2085R0203X | 227301 | NY | |
| Diagnostic Ultrasound Physician | 2085U0001X | 227301 | NY |
Addresses
Primary practice location
5645 Main St
Flushing, NY 11355-5045
Mailing address
3211 Francis Lewis Blvd
Flushing, NY 11358-1922
Phone (718) 352-9850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02440586 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227301 | NY | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunset Park Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Rhode Island Medical Imaging Inc | Diagnostic Radiology | Past | Accepting new patients |
| Rhode Island Medical Imaging Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
5521 8th Ave
Fl 6
Brooklyn, NY 11220
Phone (718) 928-2588
Organizations & group practices 3
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.
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- Diagnostic Radiology Physician
- Warwick, RI
- NPI 1205874930
-
- Diagnostic Radiology Physician
- Providence, RI
- NPI 1942376033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320278400000",
"number": "1508829243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3211 FRANCIS LEWIS BLVD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113581922",
"telephone_number": "718-352-9850",
"fax_number": "718-352-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045",
"telephone_number": "718-670-1594",
"fax_number": "718-670-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEINER",
"first_name": "JAC",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2011-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "NY",
"license": "227301",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NY",
"license": "227301",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "NY",
"license": "227301",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "227301",
"primary": true
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "NY",
"license": "227301",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "NY",
"license": "227301",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02440586",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.