Individual provider Active NPI

John Joseph Schilling, DPM

  • Podiatrist
  • Rockaway Park, NY
National Provider Identifier
1588768295
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004721 Issued in NY
Practice address
120-20 Rockaway Beach Blvd.
Rockaway Park, NY 11694
Phone
(718) 474-6600
Fax
(718) 474-8009
NPI assigned
Sep 12, 2006
Last updated
Apr 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N004721 NY Primary

Addresses

Primary practice location

120-20 Rockaway Beach Blvd.
Rockaway Park, NY 11694

Mailing address

120-20 Rockaway Beach Blvd.
Rockaway Park, NY 11694
Phone (718) 474-6600

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
I20120821000934 NY Practitioner - Podiatry 9830301415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12020 Rockaway Beach Blvd
Rockaway Park, NY 11694-3102
Phone (718) 474-6600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue51
Removal of skin lesions1-10
Removal of nail tissue175
Removal or shaving of skin growth35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John J Schilling DPM PC CurrentSince Nov 10, 1997 Accepting new patients
Ny Medical Skin Solutions, PLLC PastSince Aug 21, 2012 Accepting new patients

Locations

12903 Newport Ave
Far Rockaway, NY 11694
Phone (718) 474-6600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1588768295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120-20 ROCKAWAY BEACH BLVD.",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "718-474-6600",
            "fax_number": "718-474-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120-20 ROCKAWAY BEACH BLVD.",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "718-474-6600",
            "fax_number": "718-474-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLING",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

Verify at the official NPI Registry.