Provider Demographics
NPI:1528220076
Name:STUART B SCHNITZER
Entity Type:Organization
Organization Name:STUART B SCHNITZER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCHNITZER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:908-233-1903
Mailing Address - Street 1:2253 SOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-4688
Mailing Address - Country:US
Mailing Address - Phone:908-233-1903
Mailing Address - Fax:908-233-1909
Practice Address - Street 1:2253 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-4688
Practice Address - Country:US
Practice Address - Phone:908-233-1903
Practice Address - Fax:908-233-1909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMDOOO881332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJT823994Medicare UPIN
NJ083649Medicare Oscar/Certification
NJ4714810001Medicare NSC