Individual provider Active NPI

David Lee Snyder, M.D.

  • Psychiatry Physician
  • Moorestown, NJ
National Provider Identifier
1750387718
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA04403100 Issued in NJ
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

Updated by the provider on May 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0008557910004MedicaidPA
818301OtherPAHEALTHPASS #
001665185OtherNJBC-PERSONAL CHOICE #
353678OtherPABLUE SHIELD #
1314367OtherPAFIRST HEALTH #
260035938OtherNJRAILROAD/FEDERAL #
7268301MedicaidNJ

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
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

LicenseStateTypeSpecialty
MA04403100NJMDPsychiatry 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

Verify at the official NPI Registry.