Active NPI
Thomas Snopek, MD
- Anatomic Pathology Physician
- Suffern, NY
National Provider Identifier
1568406171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 205239
- Practice address
- Good Samaritan Hospital
255 Lafayette Ave
Suffern, NY 10901 - Phone
- (845) 368-5179
- NPI assigned
- Jun 15, 2006
- Last updated
- May 17, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 205239 | NY | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 205239 | NY |
Addresses
Primary practice location
Good Samaritan Hospital
255 Lafayette Ave
Suffern, NY 10901
Mailing address
PO Box 511
Goshen, NY 10924-0511
Phone (845) 294-4339
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0043681 | Medicaid | NJ | |
| 220033465 | Other | NY | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| 205239 | NY | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neogenomics Laboratories Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1568406171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 511",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109240511",
"telephone_number": "845-294-4339",
"fax_number": "845-294-4333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GOOD SAMARITAN HOSPITAL",
"address_2": "255 LAFAYETTE AVE",
"city": "SUFFERN",
"state": "NY",
"postal_code": "10901",
"telephone_number": "845-368-5179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOPEK",
"first_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NY",
"license": "205239",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "205239",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0043681",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "220033465",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.