1497809784 NPI number — RICHARD SCHLUSSEL MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497809784 NPI number — RICHARD SCHLUSSEL MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

SCHLUSSEL

Provider First Name:

RICHARD

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1497809784

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

04/18/2024

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

247 ROUTE 100

Provider Second Line Business Mailing Address:

SUITE 1002

Provider Business Mailing Address City Name:

SOMERS

Provider Business Mailing Address State Name:

NY

Provider Business Mailing Address Postal Code:

10589-3231

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

914-962-8290

Provider Business Mailing Address Fax Number:

914-962-8851

Provider First Line Business Practice Location Address:

150 WHITE PLAINS RD

Provider Second Line Business Practice Location Address:

SUITE 306

Provider Business Practice Location Address City Name:

TARRYTOWN

Provider Business Practice Location Address State Name:

NY

Provider Business Practice Location Address Postal Code:

10591-5535

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

914-493-8628

Provider Business Practice Location Address Fax Number:

914-493-8564

Provider Enumeration Date:

01/23/2007

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 2088P0231X , with the licence number:  172315 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
• Taxonomy code: 174400000X , with the licence number: 172315 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 208800000X , with the licence number: 172315 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

• Identifier: 32R313 . This is a "BCBS 96TH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 3C51416 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 32R312 . This is a "BCBS HIP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 001527893 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
• Identifier: 1302466 . This is a "UNHC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 7090888 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: NS3587 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 1000399 . This is a "GHI CBP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 144319P . This is a "HIP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 510881 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".