Active NPI
Udo Hans Schutte, DDS
- Prosthodontics
- New York, NY
National Provider Identifier
1912051350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 042694
- Practice address
- 570 Park Avenue Entrance on 63Rd Street
1St Floor
New York, NY 10065 - Phone
- (212) 753-2040
- Fax
- (212) 308-0464
- NPI assigned
- Jan 23, 2007
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 042694 | NY | Primary |
Addresses
Primary practice location
570 Park Avenue Entrance on 63Rd Street
1St Floor
New York, NY 10065
Mailing address
570 Park Avenue Entrance on 63Rd St 1St Floor
New York, NY 10065
Phone (212) 753-2040
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042694 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1912051350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 PARK AVENUE ENTRANCE ON 63RD ST 1ST FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10065",
"telephone_number": "212-753-2040",
"fax_number": "212-308-0464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 PARK AVENUE ENTRANCE ON 63RD STREET",
"address_2": "1ST FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10065",
"telephone_number": "212-753-2040",
"fax_number": "212-308-0464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUTTE",
"first_name": "UDO",
"middle_name": "HANS",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "042694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.