Active NPI
Robert S Schepp, MD
- Diagnostic Radiology Physician
- Rego Park, NY
National Provider Identifier
1619985132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 146636
- Practice address
- 6243 Woodhaven Blvd
Rego Park, NY 11374-3731 - Phone
- (914) 552-6049
- Fax
- (914) 632-3016
- NPI assigned
- Aug 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 146636 | NY | Primary |
Addresses
Primary practice location
6243 Woodhaven Blvd
Rego Park, NY 11374-3731
Mailing address
190 Route 18
Suite 303
East Brunswick, NJ 08816-1407
Phone (914) 552-6049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01086855 | Medicaid | NY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulevard Multispecialty Medical PC | Past | Accepting new patients | |
| Alpha Magnetic Resonance Imaging, PC | Diagnostic Radiology | Past | Accepting new patients |
| Advanced MRI, PC - Raytel Medical Imaging-Bronx | Past | Accepting new patients | |
| Integrated Diagnostic Imaging & Cardiology of Staten Island P.C. | Diagnostic Radiology | 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 and National Provider Directory roles.
-
- Radiology Clinic/Center
- Bronx, NY
- NPI 1518911221
-
- Diagnostic Radiology Physician
- Bronx, NY
- NPI 1124074539
-
- Multi-Specialty Clinic/Center
- Ozone Park, NY
- NPI 1730245366
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1174537948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405468800000",
"number": "1619985132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 ROUTE 18",
"address_2": "SUITE 303",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088161407",
"telephone_number": "914-552-6049",
"fax_number": "914-632-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6243 WOODHAVEN BLVD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743731",
"telephone_number": "914-552-6049",
"fax_number": "914-632-3016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEPP",
"first_name": "ROBERT",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2014-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "146636",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01086855",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.