1740476027 NPI number — HERBERT C SCHMIRER, DPM, PC

Table of content: (NPI 1740476027)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740476027 NPI number — HERBERT C SCHMIRER, DPM, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HERBERT C SCHMIRER, DPM, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1740476027
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/27/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9 DOCK LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORT WASHINGTON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11050-1731
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-732-0208
Provider Business Mailing Address Fax Number:
516-708-9040

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
650 E 104TH ST
Provider Second Line Business Practice Location Address:
LOWER LEVEL
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11236-2504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-257-7026
Provider Business Practice Location Address Fax Number:
516-708-9040
Provider Enumeration Date:
09/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SCHMIRER
Authorized Official First Name:
HERBERT
Authorized Official Middle Name:
C
Authorized Official Title or Position:
PODIATRIST
Authorized Official Telephone Number:
516-732-0208

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  002445 , 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: 1C3356 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 9711895003 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: KS987 . This is a "OXFORD HEALTH PLANS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 100023449301 . This is a "AMERICHOICE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0082756 . This is a "GROUP HEALTH INSURANCE COMPANY/GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 00405207 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 234493 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4809220362 . This is a "MEDICARE RRB" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P27511 . This is a "EMPIREHEALTHCHOICE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 54P1281 . This is a "NEW YORK- PRESBYTERIAN COMMUNITY HEALTH PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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