Individual provider Active NPI

Patrick Schmidlein, DO

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1518312651
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
298677 Issued in NY
Practice address
99 Division Ave
Brooklyn, NY 11249-6620
Phone
(718) 599-6200
NPI assigned
Apr 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Pediatrics Physician 208000000X 298677 NY Primary

Addresses

Primary practice location

99 Division Ave
Brooklyn, NY 11249-6620

Mailing address

309 Gold St Apt 26E
Brooklyn, NY 11201-1299

Other practice location 1

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-9000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190829001154 NY Practitioner - Pediatric Medicine 1557606241 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
298677NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TBHC Pediatric Services PC Pediatrics CurrentSince Jul 7, 2019 Accepting new patients
North Shore-Lij Medical PC CurrentSince Aug 21, 2019 Accepting new patients
Maimonides Medical Center Current Accepting new patients
The Brooklyn Hospital Center Past Accepting new patients

Locations

14 Hanover Pl
Brooklyn, NY 11201
Phone (718) 250-8866

99 Division Ave
Brooklyn, NY 11249
Phone (718) 349-8500

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

300 Community Dr
Manhasset, NY 11030

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: patrickschmidlein@mai.allscriptsdirect.net
  • Direct secure messaging: pschmidlein17714@prd.direct.tbh.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1518312651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 GOLD ST APT 26E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 DIVISION AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112496620",
            "telephone_number": "718-599-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Seaview Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103053436",
            "country_code": "US",
            "telephone_number": "718-226-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDLEIN",
        "first_name": "PATRICK",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-26",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "298677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.