Active NPI
Kenneth Albert Schmidt, M.D.
- Anesthesiology Physician
- Wyckoff, NJ
National Provider Identifier
1932163219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA04373500
- Practice address
- 500 W Main St
Suite 16
Wyckoff, NJ 07481-1439 - Phone
- (201) 847-9403
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA04373500 | NJ | Primary |
Addresses
Primary practice location
500 W Main St
Suite 16
Wyckoff, NJ 07481-1439
Mailing address
5 Spruce Hollow Rd
Upper Saddle River, NJ 07458-1941
Phone (201) 818-4052
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0848409 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penobscot Community Health Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Warren Center
- Hearing and Speech Clinic/Center
- Bangor, ME
- NPI 1285685628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1932163219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SPRUCE HOLLOW RD",
"city": "UPPER SADDLE RIVER",
"state": "NJ",
"postal_code": "074581941",
"telephone_number": "201-818-4052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W MAIN ST",
"address_2": "SUITE 16",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "074811439",
"telephone_number": "201-847-9403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "KENNETH",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA04373500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0848409",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wyckoff, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.