Anita Schmukler, D.O.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

OS002836 Issued in PA

Practice address

1 Bala Ave
Ste 212
Bala Cynwyd, PA 19004-3212

Phone

(610) 617-3155

NPI assigned

May 4, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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 Mar 17, 2016 through Mar 17, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241395200000",
    "number": "1639303837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BALA AVE",
            "address_2": "SUITE 212",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043212",
            "telephone_number": "610-617-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BALA AVE",
            "address_2": "STE 212",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043212",
            "telephone_number": "610-617-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMUKLER",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "OS002836",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MB02540300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Schimony
• Steven Schlesinger, D.M.D.
• Aaron Schlosser
• Courtland M Schmidt Jr., M.D.
• Richard G Schmidt, M.D.
• Francine R Schneider, MSS, LSW
• Marisa A Schoen, MD
• Courtney D Schoepe, MA, RD, LDN
• Ruth Scholl, CRNA
• Katie E Schrack, M.D.

• Child & Adolescent Psychiatry Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Child & Adolescent Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.