Healthcare Provider Details

I. General information

NPI: 1548697162
Provider Name (Legal Business Name): DAVID J SCHRIEBER D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2013
Last Update Date: 05/15/2024
Certification Date: 05/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 W SHERMAN AVE BLDG 1
VINELAND NJ
08360-6911
US

IV. Provider business mailing address

3003 NEW HYDE PARK RD SUITE 312
NEW HYDE PARK NY
11042-1206
US

V. Phone/Fax

Practice location:
  • Phone: 856-484-3080
  • Fax: 856-497-5029
Mailing address:
  • Phone: 516-492-3515
  • Fax: 516-492-3516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberN006841-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberN006841-1
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number25MD00330000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: