John R Schultz, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

234623 Issued in NY

Practice address

11460 Rehm Rd
Camden, NY 13316-5423

Phone

(315) 245-4383

Fax

(315) 245-5631

NPI assigned

Dec 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629138466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11460 REHM RD",
            "city": "CAMDEN",
            "state": "NY",
            "postal_code": "133165423",
            "telephone_number": "315-245-4383",
            "fax_number": "315-245-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11460 REHM RD",
            "city": "CAMDEN",
            "state": "NY",
            "postal_code": "133165423",
            "telephone_number": "315-245-4383",
            "fax_number": "315-245-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "234623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Richards
• Omar A Rivera, LPN
• Rome Memorial Hospital, Inc (Camden Family Care)
• Ronald Scales
• Bernadette A. Schinn, CCC-SLP
• Nancy Lee Schultz, LPN
• Meena P Shah, R.PH
• Pradip S Shah, R.PH
• Bethanie L Sherwood
• Sarah Shirazi, M.D.

• Licensed Practical Nurse in Camden, NY
• Providers in Camden, NY by specialty
• Licensed Practical Nurse in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.