MEDICARE: WAYNE SCHNEIDER M.D.

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	207Q00000X	Family Medicine Physician	25MA06303400	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1088194	OTHER	NJ	HORIZON NJ HEALTH #
2	2K8765	OTHER	NJ	HEALTHNET #
3	P818448	OTHER	NJ	OXFORD #
4	P00232638	OTHER	NJ	RAILROAD MCR #
5	22850	OTHER	NJ	UHP #
6	901455	OTHER	NJ	AETNA PPO #
7	1887184	OTHER	NJ	FIRST HEALTH #
8	0521648000	OTHER	NJ	AMERIHEALTH #
9	0805351	OTHER	NJ	AETNA HMO #
10	63915	OTHER	NJ	AMERIGROUP #

General Provider Information

NPI Number	:	1619916244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WAYNE SCHNEIDER M.D.

Provider Business Mailing Address
First Line	:	210 S SHORE RD
Second Line	:	SUITE 100
City	:	MARMORA
State	:	NJ
Zip	:	08223-1200
Country	:	US
Telephone Number	:	609-390-0882
Fax Number	:	609-390-3511

Provider Business Practice Location Address
First Line	:	210 S SHORE RD
Second Line	:	SUITE 100
City	:	MARMORA
State	:	NJ
Zip	:	08223-1200
Country	:	US
Telephone Number	:	609-390-0882
Fax Number	:	609-390-3511

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

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	04/15/2008

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Practice Location Address:

210 S SHORE RD , SUITE 106
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08223-1200

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1639166101 — JULIANNE W CHILDS D.O.
Practice Location Address:

210 S SHORE RD , SUITE 106
MARMORA, NJ
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1629065982 — KALEEM AHMAD M.D.
Practice Location Address:

210 S SHORE RD , SUITE 106
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08223-1200

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1366419061 — MR. JOHN RICHARD THOMAS III III MSPT
Practice Location Address:

210 S SHORE RD , SUITE 203
MARMORA, NJ
08223-1200

Practice Phone: 609-390-2400
Practice Fax: 609-390-9587

1790722163 — FAMILY PRACTICE ASSOCIATES OF CAPE MAY COUNTY, PA
Practice Location Address:

210 S SHORE RD , MARMORA MEDICAL COMMONS, SUITE 100
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08223-1200

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1497768337 — MR. PATRICK S EYE APRN, BC
Practice Location Address:

210 S SHORE RD , SUITE 201
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Practice Fax:

Directions to “ WAYNE SCHNEIDER M.D.” Practice Location

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