NPIMap

Individual provider Active NPI

Clara Shnaidman, M.D.

  • Internal Medicine Physician
  • Amsterdam, NY
National Provider Identifier
1801050117
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
247590 Issued in NY
Practice address
4104 State Highway 30
Amsterdam, NY 12010-6202
Phone
(518) 883-8620
Fax
(518) 883-5653
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 247590 NY Primary

Addresses

Primary practice location

4104 State Highway 30
Amsterdam, NY 12010-6202

Mailing address

99 E State St
PO Box1250
Gloversville, NY 12078-1203
Phone (518) 883-8620

Other identifiers 4

IdentifierTypeStateIssuer
03068336MedicaidNY
10400487OtherNYCDPHP
6022479OtherNYMVP HEALTHCARE
000418266001OtherNYBSH NE NY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081120000526 NY Practitioner - Internal Medicine 7113087107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5690

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
247590NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nathan Littauer Hospital Association CurrentSince Oct 3, 2008 Accepting new patients
Nathan Littauer Hospital Association Current Accepting new patients
Nathan Littauer Hospital & Nursing Home CurrentSince Oct 3, 2008 Accepting new patients

Locations

4104 State Highway 30
Amsterdam, NY 12010
Phone (518) 883-8620

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

Interoperability endpoints

  • Direct secure messaging: cshnaidman.nlh@hixny.net

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1801050117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "address_2": "PO BOX1250",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-883-8620",
            "fax_number": "518-883-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 STATE HIGHWAY 30",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120106202",
            "telephone_number": "518-883-8620",
            "fax_number": "518-883-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHNAIDMAN",
        "first_name": "CLARA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "247590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03068336",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10400487",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHCARE",
            "identifier": "6022479",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSH NE NY",
            "identifier": "000418266001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.