Provider Demographics
NPI:1982622684
Name:PAUL S SHNEIDMAN MD ASSOCIATES
Entity Type:Organization
Organization Name:PAUL S SHNEIDMAN MD ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHNEIDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-332-0164
Mailing Address - Street 1:41 PINE RD
Mailing Address - Street 2:
Mailing Address - City:GIBBSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08026-1139
Mailing Address - Country:US
Mailing Address - Phone:609-332-0164
Mailing Address - Fax:856-782-1968
Practice Address - Street 1:380 OXFORD VALLEY RD
Practice Address - Street 2:EEG DEPT GROUND FLOOR
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-8304
Practice Address - Country:US
Practice Address - Phone:609-332-0164
Practice Address - Fax:215-968-9385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD043140E2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADD8985OtherRAILROAD MEDICARE PROVIDE
PA2423521000OtherIBC GROUP PROVIDER NUMBER
PA2423521000OtherIBC GROUP PROVIDER NUMBER