Individual provider Active NPI

Jacob M Scheiner, DDS

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1831257823
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37583 Issued in NY
Practice address
5000 15TH Ave
Suite #1C
Brooklyn, NY 11219-3747
Phone
(718) 851-7500
NPI assigned
Dec 4, 2006
Last updated
Oct 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37583 NY Primary

Addresses

Primary practice location

5000 15TH Ave
Suite #1C
Brooklyn, NY 11219-3747

Mailing address

5000 15TH Ave
Suite #1C
Brooklyn, NY 11219-3747
Phone (718) 851-7500

Other identifiers 1

IdentifierTypeStateIssuer
00780658MedicaidNY

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
I20090227000469 NY Practitioner - Oral Surgery 2769548635 Practice locations: Brooklyn, NY; Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Lafayette Ave
Staten Island, NY 10301-1219
Phone (718) 851-7500

275 Castleton Ave
Staten Island, NY 10301-2709
Phone (718) 851-7500

5000 15TH Ave
Brooklyn, NY 11219-3701
Phone (718) 851-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37583NYMDGeneral Practice Dentistry
037983NYMDPhysical Therapist

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aperion Care Forest ParkForest Park, IL, CCN 145969 Skilled nursing facility Indirect Ownership Interest (1.5%) Jul 1, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1831257823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 15TH AVE",
            "address_2": "SUITE #1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193747",
            "telephone_number": "718-851-7500",
            "fax_number": "815-572-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 15TH AVE",
            "address_2": "SUITE #1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193747",
            "telephone_number": "718-851-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEINER",
        "first_name": "JACOB",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "37583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00780658",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.