Individual provider Active NPI

Matthew Scott Schorr, D.D.S.

  • Dentist
  • Patchogue, NY
National Provider Identifier
1851733885
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
056670 Issued in NY
Practice address
38 Oak St
Patchogue, NY 11772-2883
Phone
(631) 438-3255
NPI assigned
Jul 18, 2013
Last updated
Dec 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 056670 NY Primary

Addresses

Primary practice location

38 Oak St
Patchogue, NY 11772-2883

Mailing address

38 Oak St
Patchogue, NY 11772-2883
Phone (631) 438-3255

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
I20160308000738 NY Order and Referring Only - DentistPractitioner - Dentist 9133425705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1851733885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 OAK ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722883",
            "telephone_number": "631-438-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 OAK ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722883",
            "telephone_number": "631-438-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHORR",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "056670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.