Individual provider Active NPI

Uri Netanel Schneider, DMD

  • Dentist
  • Dumont, NJ
National Provider Identifier
1538786546
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02803000 Issued in NJ
Practice address
55 Grant Ave
Dumont, NJ 07628-1624
Phone
(201) 385-5538
NPI assigned
Jun 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02803000 NJ Primary
Dentist 122300000X 063015-01 NY

Addresses

Primary practice location

55 Grant Ave
Dumont, NJ 07628-1624

Mailing address

55 Grant Ave
Dumont, NJ 07628-1624
Phone (201) 385-5538

Other practice location 1

40 Robert Pitt Dr
Monsey, NY 10952-3333
Phone (845) 352-6800

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240326000747 NY Practitioner - Dentist 4082051008 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02803000NJMDDentist
063015-01NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Refuah Health Center Inc CurrentSince Mar 14, 2024 Accepting new patients
Refuah Health Center, Inc. CurrentSince Mar 14, 2024 Accepting new patients

Locations

728 N Main St
New Square, NY 10977
Phone (845) 354-9301

5 Twin Ave
Spring Valley, NY 10977
Phone 84535493001249

Organizations & group practices 2

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1538786546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 GRANT AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281624",
            "telephone_number": "201-385-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 GRANT AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281624",
            "telephone_number": "201-385-5538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Robert Pitt Dr",
            "address_purpose": "LOCATION",
            "city": "Monsey",
            "state": "NY",
            "postal_code": "109523333",
            "country_code": "US",
            "telephone_number": "845-352-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "URI",
        "middle_name": "NETANEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02803000",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "063015-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumont, NJ

Sources for this page

Verify at the official NPI Registry.