Individual provider Active NPI

Frieda Neuschotz, M.D.

  • Pediatrics Physician
  • Jericho, NY
National Provider Identifier
1952453722
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
170954 Issued in NY
Practice address
99 Jericho Tpke
Suite 206
Jericho, NY 11753-1073
Phone
(516) 338-2900
Fax
(516) 338-2902
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 170954 NY Primary

Addresses

Primary practice location

99 Jericho Tpke
Suite 206
Jericho, NY 11753-1073

Mailing address

99 Jericho Tpke
Suite 206
Jericho, NY 11753-1073
Phone (516) 338-2900

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
I20170815000432 NY Practitioner - Pediatric Medicine 6608148440

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Children'S Service, University Faculty Practice Corporatio Pediatrics CurrentSince Jul 24, 2017 Accepting new patients
Scott Bloom MD PC Past Accepting new patients
Adam J Schneider MDPC Past Accepting new patients

Locations

2701 Sunrise Hwy
Islip Terrace, NY 11752
Phone (631) 444-6300

4 Technology Dr
Setauket, NY 11733
Phone (631) 444-2700

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952453722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 JERICHO TPKE",
            "address_2": "SUITE 206",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531073",
            "telephone_number": "516-338-2900",
            "fax_number": "516-338-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 JERICHO TPKE",
            "address_2": "SUITE 206",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531073",
            "telephone_number": "516-338-2900",
            "fax_number": "516-338-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUSCHOTZ",
        "first_name": "FRIEDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "170954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

Verify at the official NPI Registry.