Organization Active NPI

Gideon L Schneck MD PC

  • Ophthalmology Physician
  • Stony Brook, NY
National Provider Identifier
1760500847
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
185627 Issued in NY
Legal business name
GIDEON L SCHNECK MD PC
Practice address
2500 Nesconset Hwy 17B
Stony Brook, NY 11790
Phone
(631) 246-9140
Fax
(631) 246-9244
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gideon Lloyd Schneck, MD
Title
Doctor
Phone
(631) 246-9140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 185627 NY Primary

Addresses

Primary practice location

2500 Nesconset Hwy 17B
Stony Brook, NY 11790

Mailing address

2500 Nesconset Hwy 17B
Stony Brook, NY 11790
Phone (631) 246-9140

National Provider Directory

National Provider Directory

Locations

2500 Nesconset Hwy
Bldg 17B
Stony Brook, NY 11790
Phone (631) 246-9140

800 Woodbury Rd
Ste K
Woodbury, NY 11797
Phone (516) 682-9142

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760500847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY 17B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-246-9140",
            "fax_number": "631-246-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY 17B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-246-9140",
            "fax_number": "631-246-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIDEON L SCHNECK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHNECK",
        "authorized_official_first_name": "GIDEON",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "631-246-9140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "185627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.