1427152511 NPI number — FRANCIS J SCHANNE MD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427152511 NPI number — FRANCIS J SCHANNE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHANNE
Provider First Name:
FRANCIS
Provider Middle Name:
J
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
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:
1427152511
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/22/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1145 BEACON AVE STE A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANAHAWKIN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08050-2471
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-597-1991
Provider Business Mailing Address Fax Number:
609-597-1991

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2110 NEW RD STE 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LINWOOD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08221-1013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-383-6400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/11/2006

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: 208800000X , with the licence number:  25MA08009800 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 208800000X , with the licence number: C10006833 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 2107754 . This is a "MAMSI" identifier . This identifiers is of the category "OTHER".
  • Identifier: H80121 . This is a "FEDERAL UPN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1000023445 . This is a "DE PHYS SCHANNE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1619536 . This is a "AMERIHEALTH PERS CHOICE H" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00083918 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1000030165 . This is a "EDS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 191931 . This is a "COVENTRY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3075613 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2107754 . This is a "OPTIMUM CHOICE" identifier . This identifiers is of the category "OTHER".




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