Active NPI
Keith A. Scheinblum, M.D.
- Ophthalmology Physician
- Shirley, NY
National Provider Identifier
1528134806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 191805-1
- Practice address
- 999 Montauk Hwy Unit 3
Shirley, NY 11967-2100 - Phone
- (631) 399-6992
- Fax
- (631) 399-8045
- NPI assigned
- Nov 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 191805-1 | NY | Primary |
Addresses
Primary practice location
999 Montauk Hwy Unit 3
Shirley, NY 11967-2100
Mailing address
999 Montauk Hwy Unit 3
Shirley, NY 11967-2100
Phone (631) 399-6992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191805-1 | Other | NY | LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191805-1 | NY | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261440000000",
"number": "1528134806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 MONTAUK HWY UNIT 3",
"city": "SHIRLEY",
"state": "NY",
"postal_code": "119672100",
"telephone_number": "631-399-6992",
"fax_number": "631-399-8045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 MONTAUK HWY UNIT 3",
"city": "SHIRLEY",
"state": "NY",
"postal_code": "119672100",
"telephone_number": "631-399-6992",
"fax_number": "631-399-8045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEINBLUM",
"first_name": "KEITH",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2009-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "191805-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "191805-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shirley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.