Samuel Schenker

Primary specialty

OptometristTaxonomy code 152W00000X

License

V005047-1 Issued in NY

Practice address

14 Western Ave
Marlboro, NY 12542-6164

Phone

(845) 226-2001

Fax

(845) 236-7703

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Samuel Schenker OD, PC

  • Optometrist
  • Marlboro, NY
  • NPI 1205930781

  NY, Optometrist

  Medicare reassignment NPD Authorized official
• Hyde Park Optometry

  • Optometrist
  • Hyde Park, NY
  • NPI 1265556377
  NPD (past)
• Schenker Optometry, P.C.

  • Optometrist
  • Hyde Park, NY
  • NPI 1497775605
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1922006907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WESTERN AVE",
            "address_2": "PO BOX 669",
            "city": "MARLBORO",
            "state": "NY",
            "postal_code": "125426164",
            "telephone_number": "845-226-2001",
            "fax_number": "845-236-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WESTERN AVE",
            "city": "MARLBORO",
            "state": "NY",
            "postal_code": "125426164",
            "telephone_number": "845-226-2001",
            "fax_number": "845-236-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENKER",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "V005047-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Roscino, COTA
• Dawn D Roth, RN BSN
• Chantel Russ
• Samuel Schenker OD, PC
• Colleen B Schafer, CCC/SLP
• Ronda E Secor, LPN
• Nicole Marie Serini, LMHC
• Dawn Spotards
• Starbright Applied Behavior Analyst,PLLC
• Daniel Brian Strauss, RPH.

• All providers in Marlboro, NY
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.