Organization Active NPI

Neil Shechtman MD PA

  • Internal Medicine Physician
  • Lake Placid, FL
National Provider Identifier
1558394452
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME51063 Issued in FL
Legal business name
NEIL SHECHTMAN MD PA
Practice address
316 W Interlake Blvd
Lake Placid, FL 33852-9653
Phone
(863) 465-7650
Fax
(863) 465-7636
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Neil Stuart Shechtman, M.D.
Title
President
Phone
(863) 465-7650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME51063 FL Primary

Addresses

Primary practice location

316 W Interlake Blvd
Lake Placid, FL 33852-9653

Mailing address

316 W Interlake Blvd
Lake Placid, FL 33852-9653
Phone (863) 465-7650

National Provider Directory

National Provider Directory

Locations

316 W Interlake Blvd
Lake Placid, FL 33852
Phone (863) 465-7636

204 US Highway 27 S
Ste 4
Lake Placid, FL 33852
Phone (863) 465-7650

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558394452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W INTERLAKE BLVD",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338529653",
            "telephone_number": "863-465-7650",
            "fax_number": "863-465-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W INTERLAKE BLVD",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338529653",
            "telephone_number": "863-465-7650",
            "fax_number": "863-465-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL SHECHTMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHECHTMAN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-465-7650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME51063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Placid, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.