Provider Demographics
NPI:1144317793
Name:SCHOENBERG, NORMAN Y (MD)
Entity type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:Y
Last Name:SCHOENBERG
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 1:3400 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4238
Mailing Address - Country:US
Mailing Address - Phone:215-662-3000
Mailing Address - Fax:215-662-7011
Practice Address - Street 1:3400 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4238
Practice Address - Country:US
Practice Address - Phone:215-662-3000
Practice Address - Fax:215-662-7011
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY169883-12085R0202X
NJ25MA067112002085R0202X
CT752012085R0202X
PAMD4723452085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY48F332OtherBLUE CROSS, BLUE SHIELD
NY01191304Medicaid
NY1843136OtherUNITED HEALTHCARE
NY4100060OtherGHI
NY4100060OtherGHI
NY1843136OtherUNITED HEALTHCARE
NYNS048F3320Medicare ID - Type Unspecified