Provider Demographics
NPI:1316927726
Name:SCHMELL, ERIC B (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:B
Last Name:SCHMELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 223727
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-2727
Mailing Address - Country:US
Mailing Address - Phone:866-560-2433
Mailing Address - Fax:301-668-1742
Practice Address - Street 1:65 JAMES STREET
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820
Practice Address - Country:US
Practice Address - Phone:732-321-7540
Practice Address - Fax:732-287-1702
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA072365002085R0202X
PAMD4323102085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8533105Medicaid
PAP00432844OtherRRMC
PA1020005300001Medicaid
H16589Medicare UPIN
NJ050525Medicare ID - Type Unspecified
PA1020005300001Medicaid
PA115335D2YMedicare PIN