Active NPI
David Lee Snyder, M.D.
- Psychiatry Physician
- Moorestown, NJ
National Provider Identifier
1750387718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MA04403100
- Practice address
- 108 Ramblewood Rd
Moorestown, NJ 08057-2628 - Phone
- (856) 296-9407
- Fax
- (856) 727-9337
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD025294E | PA | |
| Psychiatry Physician | 2084P0800X | MA04403100 | NJ | Primary |
Addresses
Primary practice location
108 Ramblewood Rd
Moorestown, NJ 08057-2628
Mailing address
108 Ramblewood Rd
Moorestown, NJ 08057-2628
Phone (856) 296-9407
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008557910004 | Medicaid | PA | |
| 818301 | Other | PA | HEALTHPASS # |
| 001665185 | Other | NJ | BC-PERSONAL CHOICE # |
| 353678 | Other | PA | BLUE SHIELD # |
| 1314367 | Other | PA | FIRST HEALTH # |
| 260035938 | Other | NJ | RAILROAD/FEDERAL # |
| 7268301 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120314000162 | NJ | Practitioner - Psychiatry | 4385803139 | Practice locations: Moorestown, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Hahnemann University College of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
108 Ramblewood Rd
Moorestown, NJ 08057-2628
509 S Lenola Rd
BLDG 4a
Moorestown, NJ 08057-1561
Phone (856) 439-9300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA04403100 | NJ | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1750387718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 RAMBLEWOOD RD",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080572628",
"telephone_number": "856-296-9407",
"fax_number": "856-727-9337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 RAMBLEWOOD RD",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080572628",
"telephone_number": "856-296-9407",
"fax_number": "856-727-9337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "DAVID",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD025294E",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "MA04403100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008557910004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPASS #",
"identifier": "818301",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC-PERSONAL CHOICE #",
"identifier": "001665185",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD #",
"identifier": "353678",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH #",
"identifier": "1314367",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD/FEDERAL #",
"identifier": "260035938",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7268301",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.