Individual provider Active NPI

Michael Ben Schachter, MD

  • Family Medicine Physician
  • Suffern, NY
National Provider Identifier
1629199682
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
097295-1 Issued in NY
Practice address
2 Executive Blvd
Suite 202
Suffern, NY 10901-4164
Phone
(845) 368-4700
Fax
(845) 368-4727
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 097295-1 NY Primary

Addresses

Primary practice location

2 Executive Blvd
Suite 202
Suffern, NY 10901-4164

Mailing address

2 Executive Blvd
Suite 202
Suffern, NY 10901-4164
Phone (845) 368-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2014 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
097295-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael B. Schachter, MDPC Family Medicine 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629199682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE BLVD",
            "address_2": "SUITE 202",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014164",
            "telephone_number": "845-368-4700",
            "fax_number": "845-368-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE BLVD",
            "address_2": "SUITE 202",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014164",
            "telephone_number": "845-368-4700",
            "fax_number": "845-368-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHACHTER",
        "first_name": "MICHAEL",
        "middle_name": "BEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "097295-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.