Active NPI
Harry Banschick, M.D.
- Pediatrics Physician
- Fort Lee, NJ
National Provider Identifier
1881613073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA38980
- Practice address
- 2500 Lemoine Ave
Fort Lee, NJ 07024-6232 - Phone
- (201) 592-9210
- Fax
- (201) 592-6539
- NPI assigned
- Jul 19, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA38980 | NJ | Primary |
Addresses
Primary practice location
2500 Lemoine Ave
Fort Lee, NJ 07024-6232
Mailing address
2500 Lemoine Ave
Fort Lee, NJ 07024-6232
Phone (201) 592-9210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223109158 | Other | NJ | TAX ID |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA38980 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelcare Medical Associates, PA | Pediatrics | Past | Accepting new patients |
| Holy Name Medical Center Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Teaneck, NJ
- NPI 1104859131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881613073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 LEMOINE AVE",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246232",
"telephone_number": "201-592-9210",
"fax_number": "201-592-6539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 LEMOINE AVE",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246232",
"telephone_number": "201-592-9210",
"fax_number": "201-592-6539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANSCHICK",
"first_name": "HARRY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA38980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "223109158",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.