1013986777 NPI number — BERNARD SCHAYES M.D.

Table of content: BERNARD SCHAYES M.D. (NPI 1013986777)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013986777 NPI number — BERNARD SCHAYES M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHAYES
Provider First Name:
BERNARD
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

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 Information

NPI Number:
1013986777
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/04/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
162 E 80TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10075-0426
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-535-3338
Provider Business Mailing Address Fax Number:
212-988-9353

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
162 E 80TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10075-0426
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-535-3338
Provider Business Practice Location Address Fax Number:
212-988-9353
Provider Enumeration Date:
03/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  162582 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 251841 . This is a "UNITED HEALTHCARE PROVIDE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2C5928 . This is a "HEALTHNET PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4097622 . This is a "AETNA PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P2964290 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 162582 . This is a "HIP/L1199/COMMERCIAL INS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: BS047D4110 . This is a "EMPIRE BLUE CROSS AND BLUE SHIELD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P00269222 . This is a "RAILROAD MEDIPROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 00901304 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0495565010 . This is a "CIGNA PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000075472 . This is a "GHI HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0010208 . This is a "GHI PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 010162582NY01 . This is a "ANTHEM PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 84226 . This is a "VYTRA PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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