Organization Active NPI

Kenneth a. Schreiber, MD,PC

  • Psychiatry Physician
  • Port Jefferson Station, NY
National Provider Identifier
1932389285
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
109223 Issued in NY
Legal business name
KENNETH A. SCHREIBER, MD,PC
Practice address
55 Nesconset Hwy
Suite 4
Port Jefferson Station, NY 11776-2631
Phone
(631) 928-8331
NPI assigned
Nov 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Kenneth A. Schreiber, M.D.
Title
President
Phone
(631) 928-8331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 109223 NY Primary

Addresses

Primary practice location

55 Nesconset Hwy
Suite 4
Port Jefferson Station, NY 11776-2631

Mailing address

55 Nesconset Hwy
Suite 4
Port Jefferson Station, NY 11776-2631
Phone (631) 928-8331

National Provider Directory

National Provider Directory

Locations

640 Belle Terre Rd
Bldg E
Port Jefferson, NY 11777
Phone (631) 331-0715

55 Nesconset Hwy
Ste 4
Port Jefferson Station, NY 11776
Phone (631) 928-8331

NPI Registry JSON

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

{
    "created_epoch": "1194134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1932389285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NESCONSET HWY",
            "address_2": "SUITE 4",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762631",
            "telephone_number": "631-928-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NESCONSET HWY",
            "address_2": "SUITE 4",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762631",
            "telephone_number": "631-928-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH A. SCHREIBER, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-04",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-928-8331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "109223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.