Individual provider Active NPI

Jason Schneidkraut, MD

  • Orthopaedic Trauma Physician
  • Wayne, NJ
National Provider Identifier
1639337884
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
25MA08474200 Issued in NJ
Practice address
342 Hamburg Tpke
Suite 209
Wayne, NJ 07470-2162
Phone
(973) 513-9646
Fax
(973) 513-9644
NPI assigned
May 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X MD60216210 WA
Orthopaedic Trauma Physician 207XX0801X 25MA08474200 NJ Primary

Addresses

Primary practice location

342 Hamburg Tpke
Suite 209
Wayne, NJ 07470-2162

Mailing address

342 Hamburg Tpke
Suite 209
Wayne, NJ 07470-2162
Phone (973) 513-9646

Other identifiers 1

IdentifierTypeStateIssuer
1639337884MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121115000033 NJ Practitioner - Orthopedic Surgery 1355510835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Orthopedics and Sports Medicine PAGroup PAC ID 9234216284, 3 clinicians

Practice addresses (Care Compare)

342 Hamburg Tpke
Suite 209
Wayne, NJ 07470-2166
Phone (973) 513-9646

Hospital & facility affiliations

  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08474200NJMDOrthopaedic Trauma Physician
MD60216210WAMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Orthopedics and Sports Medicine, P.a. CurrentSince Jun 1, 2013 Accepting new patients

Locations

342 Hamburg Tpke
Ste 209
Wayne, NJ 07470
Phone (973) 513-9646

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.

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": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1639337884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HAMBURG TPKE",
            "address_2": "SUITE 209",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702162",
            "telephone_number": "973-513-9646",
            "fax_number": "973-513-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 HAMBURG TPKE",
            "address_2": "SUITE 209",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702162",
            "telephone_number": "973-513-9646",
            "fax_number": "973-513-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDKRAUT",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "WA",
            "license": "MD60216210",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NJ",
            "license": "25MA08474200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639337884",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.