Individual provider Active NPI

Donald Stephen Schertzman, M.D.

  • Anesthesiology Physician
National Provider Identifier
1548343403
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
159890 Issued in NY
Practice address
Rehov Hamagid Mmetzritch 74
Betar Ilit, ISRAEL 99879
IL
Phone
(516) 708-4147
Fax
(516) 708-4147
NPI assigned
Oct 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 159890 NY Primary

Addresses

Primary practice location

Rehov Hamagid Mmetzritch 74
Betar Ilit, ISRAEL 99879
IL

Mailing address

3794 E Oceanside Rd
Oceanside, NY 11572-5963
Phone (516) 536-2276

Other identifiers 1

IdentifierTypeStateIssuer
00912309MedicaidNY

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
159890NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Gastroenterology Associates of Lancaster, LTD. Past Accepting new patients
Northeast Indiana Anesthesiology, PC Anesthesiology Past Accepting new patients
Westwyo Services LP Anesthesiology PastSince May 1, 2015 Accepting new patients
Northeast Indiana Colon Rectal Surgeons PC Past Accepting new patients

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548343403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3794 E OCEANSIDE RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725963",
            "telephone_number": "516-536-2276",
            "fax_number": "516-536-2276"
        },
        {
            "country_code": "IL",
            "country_name": "Israel",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "REHOV HAMAGID MMETZRITCH 74",
            "city": "BETAR ILIT",
            "state": "ISRAEL",
            "postal_code": "99879",
            "telephone_number": "516-708-4147",
            "fax_number": "516-708-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERTZMAN",
        "first_name": "DONALD",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "159890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00912309",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.