Individual provider Active NPI

Scott M Schonfeld, DPM

  • Podiatrist
  • Merrick, NY
National Provider Identifier
1750454831
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005976 Issued in NY
Practice address
31 Merrick Ave Ste 120
Merrick, NY 11566
Phone
(516) 705-8020
Fax
(516) 705-8822
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005976 NY Primary

Addresses

Primary practice location

31 Merrick Ave Ste 120
Merrick, NY 11566

Mailing address

31 Merrick Ave
Ste 120
Merrick, NY 11566-3406
Phone (516) 705-8020

Other identifiers 1

IdentifierTypeStateIssuer
02732570MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510001218 NY Practitioner - Podiatry 6305835810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31 Merrick Ave
Suite 120
Merrick, NY 11566-3406
Phone (516) 705-8020

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue194
Removal of skin lesions71
Removal of nail tissue791
Removal or shaving of skin growth570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005976NYMDCounselor
N005976NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott M. Schonfeld, DPM, P.C. Podiatrist CurrentSince Aug 9, 2005 Accepting new patients
South Ocean Care LLC Past Accepting new patients

Locations

31 Merrick Ave
Ste 120
Merrick, NY 11566
Phone (516) 705-8020

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1750454831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MERRICK AVE",
            "address_2": "STE 120",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663406",
            "telephone_number": "516-705-8020",
            "fax_number": "516-705-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MERRICK AVE STE 120",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "11566",
            "telephone_number": "516-705-8020",
            "fax_number": "516-705-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHONFELD",
        "first_name": "SCOTT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02732570",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

Verify at the official NPI Registry.