MEDICARE: TODD C SCHMOLL D.O.

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	25MB05973500	NJ

General Provider Information

NPI Number	:	1942346432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD C SCHMOLL D.O.

Provider Business Mailing Address
First Line	:	3003 LONG BEACH BLVD
Second Line	:
City	:	LONG BEACH TOWNSHIP
State	:	NJ
Zip	:	08008-2653
Country	:	US
Telephone Number	:	609-492-0900
Fax Number	:	609-492-1347

Provider Business Practice Location Address
First Line	:	3003 LONG BEACH BLVD
Second Line	:
City	:	LONG BEACH TOWNSHIP
State	:	NJ
Zip	:	08008-2653
Country	:	US
Telephone Number	:	609-492-0900
Fax Number	:	609-492-1347

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

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	12/02/2025

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