Active NPI
Henry A Schaeffer, M.D.
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1508865486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 092456
- Practice address
- 450 Clarkson Ave # 49
Department of Pediatrics, Suny-Downstate Medical Center
Brooklyn, NY 11203-2012 - Phone
- (718) 270-7289
- Fax
- (718) 270-1985
- NPI assigned
- Jul 21, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 092456 | NY | Primary |
Addresses
Primary practice location
450 Clarkson Ave # 49
Department of Pediatrics, Suny-Downstate Medical Center
Brooklyn, NY 11203-2012
Mailing address
170 Rugby Rd
Brooklyn, NY 11226-4550
Phone (718) 462-5789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00149151 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092456 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1508865486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 RUGBY RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112264550",
"telephone_number": "718-462-5789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE # 49",
"address_2": "DEPARTMENT OF PEDIATRICS, SUNY-DOWNSTATE MEDICAL CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012",
"telephone_number": "718-270-7289",
"fax_number": "718-270-1985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFFER",
"first_name": "HENRY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "092456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00149151",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.