Individual provider Active NPI

Fredric Scott Schoen, M.D.

  • Neurology Physician
  • Albany, NY
National Provider Identifier
1891754966
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
140376 Issued in NY
Practice address
400 Patroon Creek Blvd
Suite 210
Albany, NY 12206-5012
Phone
(518) 459-8106
Fax
(518) 489-6441
NPI assigned
Mar 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 140376 NY Primary

Addresses

Primary practice location

400 Patroon Creek Blvd
Suite 210
Albany, NY 12206-5012

Mailing address

400 Patroon Creek Blvd
Suite 210
Albany, NY 12206-5012
Phone (518) 459-8106

Other identifiers 1

IdentifierTypeStateIssuer
01124996MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910001065 NY Practitioner - Neurology 6204730104 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Neurology CurrentSince Apr 1, 2014 Accepting new patients
Albany Medical College Neurology CurrentSince Feb 1, 2019 Accepting new patients
Albany Medical College CurrentSince Apr 1, 2014 Accepting new patients

Locations

400 Patroon Creek Blvd
Ste 210
Albany, NY 12206
Phone (518) 459-8106

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

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.

NPI Registry JSON

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1891754966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PATROON CREEK BLVD",
            "address_2": "SUITE 210",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122065012",
            "telephone_number": "518-459-8106",
            "fax_number": "518-489-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PATROON CREEK BLVD",
            "address_2": "SUITE 210",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122065012",
            "telephone_number": "518-459-8106",
            "fax_number": "518-489-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOEN",
        "first_name": "FREDRIC",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "140376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01124996",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.