Provider Demographics
NPI:1881675007
Name:SCHOENFELD, HOWARD (DO)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:SCHOENFELD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SPENCER CIR
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1508
Mailing Address - Country:US
Mailing Address - Phone:732-513-9490
Mailing Address - Fax:
Practice Address - Street 1:7 SPENCER CIR
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1508
Practice Address - Country:US
Practice Address - Phone:732-536-9264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-07
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB03072800207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1081306Medicaid
NJ419478Medicare ID - Type Unspecified
NJ1081306Medicaid