MEDICARE: ERIC SHNAYDER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	25MA07307900	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861477465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC SHNAYDER MD

Provider Business Mailing Address
First Line	:	11 KIEL AVE
Second Line	:	SECOND FLOOR
City	:	KINNELON
State	:	NJ
Zip	:	07405-2549
Country	:	US
Telephone Number	:	973-838-7722
Fax Number	:	973-838-3579

Provider Business Practice Location Address
First Line	:	11 KIEL AVE STE 2
Second Line	:
City	:	KINNELON
State	:	NJ
Zip	:	07405-2557
Country	:	US
Telephone Number	:	973-838-7722
Fax Number	:	973-838-3579

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	04/29/2022

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Directions to “ ERIC SHNAYDER MD” Practice Location

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