Active NPI
John C. Schroeder, MD
- Psychiatry Physician
- Tinton Falls, NJ
National Provider Identifier
1770539652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD038967L
- Practice address
- 55 N Gilbert St
Tinton Falls VA - Cboc, BLDG 4, Ste 4101
Tinton Falls, NJ 07701-4955 - Phone
- (732) 842-4751
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD038967L | PA | Primary |
Addresses
Primary practice location
55 N Gilbert St
Tinton Falls VA - Cboc, BLDG 4, Ste 4101
Tinton Falls, NJ 07701-4955
Mailing address
5055 Swamp Rd # 553
Fountainville, PA 18923-9643
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD038967-L | Other | PA | MEDICAL EXAMINERS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Jersey Behavioral Health Associates Inc | Psychiatry | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- Toms River, NJ
- NPI 1285683276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1770539652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5055 SWAMP RD # 553",
"city": "FOUNTAINVILLE",
"state": "PA",
"postal_code": "189239643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 N GILBERT ST",
"address_2": "TINTON FALLS VA - CBOC, BLDG 4, STE 4101",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077014955",
"telephone_number": "732-842-4751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "JOHN",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD038967L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EXAMINERS LICENSE",
"identifier": "MD038967-L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tinton Falls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.