Provider Demographics
NPI:1972638013
Name:SCHEFFS, JAN SLAWOJ
Entity type:Individual
Prefix:DR
First Name:JAN
Middle Name:SLAWOJ
Last Name:SCHEFFS
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:JAN
Other - Middle Name:SLAWOJ
Other - Last Name:SCHEFFS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:32 NORTHDALE RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-2914
Mailing Address - Country:US
Mailing Address - Phone:914-328-4029
Mailing Address - Fax:
Practice Address - Street 1:698 MANHATTAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-3160
Practice Address - Country:US
Practice Address - Phone:718-383-6600
Practice Address - Fax:718-383-8893
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106281207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB18843Medicare UPIN