Individual provider Active NPI

Jeffrey S Sneider, M.D.

  • Internal Medicine Physician
  • Syracuse, NY
National Provider Identifier
1942207261
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
126121 Issued in NY
Practice address
215 Dewitt Rd
Syracuse, NY 13214-2006
Phone
(315) 256-5658
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 126121 NY Primary

Addresses

Primary practice location

215 Dewitt Rd
Syracuse, NY 13214-2006

Mailing address

215 Dewitt Rd
Syracuse, NY 13214-2006
Phone (315) 256-5658

Other identifiers 2

IdentifierTypeStateIssuer
126121OtherNYLICENSE #
0066-3974MedicaidNY

Other names 1

  • Dr. Jef Sneider Professional name

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
I20060228000157 NY Practitioner - Internal MedicinePractitioner - Family Practice 9335036615 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Home of Central New York Inc. CurrentSince Mar 2, 2014 Accepting new patients
Mdinr, LLC CurrentSince Sep 23, 2011 Accepting new patients
Raytel Cardiac Services, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Kenneth E. Gale, MD, PC Past Accepting new patients
Thomas D Maher MD PLLC Internal Medicine Past Accepting new patients

Locations

4101 E Genesee St
Syracuse, NY 13214
Phone (315) 446-9111

Interoperability endpoints

  • Direct secure messaging: snei4967@hiemail.healtheconnections.org

Organizations & group practices 5

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1942207261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 DEWITT RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142006",
            "telephone_number": "315-256-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 DEWITT RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142006",
            "telephone_number": "315-256-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEIDER",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "126121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "126121",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066-3974",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEF",
            "last_name": "SNEIDER",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.