Individual provider Active NPI

Samuel Schneider, MD

  • Psychiatry Physician
  • Princeton, NJ
National Provider Identifier
1972620391
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA03321300 Issued in NJ
Practice address
33 State Rd
Suite J
Princeton, NJ 08540-1304
Phone
(609) 924-3980
Fax
(609) 924-1256
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA03321300 NJ Primary

Addresses

Primary practice location

33 State Rd
Suite J
Princeton, NJ 08540-1304

Mailing address

33 State Rd
Suite J
Princeton, NJ 08540-1304
Phone (609) 924-3980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20080114000279 NJ Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 8729169099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Pennsylvania State University College of Medicine, 1975
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

800 Bunn Dr
Suite 304
Princeton, NJ 08540-1968
Phone (609) 924-3980

Merit-based Incentive Payment System (MIPS)

Final score
22.07 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Schneider Mdpa Psychiatry CurrentSince Sep 9, 1998 Accepting new patients

Locations

33 State Rd
Ste J
Princeton, NJ 08540
Phone (609) 924-3980

800 Bunn Dr
Ste 304
Princeton, NJ 08540
Phone (609) 651-4429

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1972620391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 STATE RD",
            "address_2": "SUITE J",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401304",
            "telephone_number": "609-924-3980",
            "fax_number": "609-924-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 STATE RD",
            "address_2": "SUITE J",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401304",
            "telephone_number": "609-924-3980",
            "fax_number": "609-924-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA03321300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.