Active NPI
Jeffrey Keith Schleger, D.P.M.
- Foot Surgery Podiatrist
- Far Rockaway, NY
National Provider Identifier
1811945751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N003339
- Practice address
- 5115 Beach Channel Dr
Far Rockaway, NY 11691-1042 - Phone
- (516) 242-4648
- Fax
- (516) 612-4365
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | N003339 | NY | Primary |
Addresses
Primary practice location
5115 Beach Channel Dr
Far Rockaway, NY 11691-1042
Mailing address
1940 Deer Park Ave
#330
Deer Park, NY 11729-3328
Phone (516) 242-4648
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01285978 | Medicaid | NY | |
| PB1141 | Other | NY | INDIVIDUAL BC/BS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003339 | NY | MD | Nutritionist |
| N003339 | NY | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians of Brooklyn, Inc. | 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.
-
- Orthopaedic Surgery Physician
- Brooklyn, NY
- NPI 1386691822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1811945751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 DEER PARK AVE",
"address_2": "#330",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117293328",
"telephone_number": "516-242-4648",
"fax_number": "516-612-4365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 BEACH CHANNEL DR",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116911042",
"telephone_number": "516-242-4648",
"fax_number": "516-612-4365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLEGER",
"first_name": "JEFFREY",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N003339",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01285978",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL BC/BS",
"identifier": "PB1141",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.