DR. WILLIAM F SCHMALZ JR. MD
NPI 1689852428
General Practice in Lyndhurst, NJ

Q: What is William Schmalz's NPI number?

The NPI number for William Schmalz is 1689852428. It was assigned to this individual provider in the NPPES registry on February 4, 2008.

Q: What is William Schmalz's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for William Schmalz was last updated on March 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 04, 2008PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

750 VALLEY BROOK AVE, LYNDHURST, NJ 07071(973) 857-8995(201) 933-7600 Get Directions Write a Review

NPPES record last updated: March 12, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. William F Schmalz Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM F SCHMALZ JR. MD (NPI 1689852428) is an individual general practice provider in Lyndhurst, New Jersey, licensed in New Jersey (25MA0342000) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1689852428

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. WILLIAM F SCHMALZ JR.Credential: MD

Location Address750 VALLEY BROOK AVELyndhurst, NJ 07071-1301

Mailing Address750 Valley Brook AveLyndhurst, NJ 07071-1301 · (973) 857-8995 · Fax (201) 933-7600

Phone(973) 857-8995

Fax(201) 933-7600

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateFebruary 4, 2008

Last NPPES UpdateMarch 12, 2019

✔ NPI 1689852428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NJ · 25MA0342000

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedSurgeryTaxonomy 208600000X · License 293147 (NY)

750 VALLEY BROOK AVE, Lyndhurst, NJ 07071

Open in Google Maps ↗

Secondary Practice Locations 2

Location 199 Washington Ave Ste 805AAlbany, NY 12210-2804 · Phone (310) 445-5999 ext. 215 · Fax (310) 445-6622

Location 213 Long AveMahwah, NJ 07430-1143 · Phone (201) 887-7761 · Fax (310) 445-6622

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. William F Schmalz Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264588409

PECOS Enrollment IDI20090914000304, I20190308000450

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show William Schmalz reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rockland Ny Medical Services, P.C.

25 mi

Internal Medicine

20 SQUADRON BLVD, SUITE 550
New City, NY 10956

Reassigned Medicare billing, New York enrollment
10 clinicians in this Medicare group

NPI 1538286190 (845) 634-8800

Skilled Physicians Group

2,441 mi

General Practice

3747 FOOTHILL BLVD # B140
Glendale, CA 91214

Reassigned Medicare billing, New Jersey and New York enrollments
6 clinicians in this Medicare group

NPI 1902444623 (310) 445-5999

Skilled Facility Health Care Solutions Inc

2,456 mi

Surgery

5455 S CENTINELA AVE
Los Angeles, CA 90066

Reassigned Medicare billing, New Jersey and New York enrollments
10 clinicians in this Medicare group

NPI 1104018423 (310) 445-5999

Skilled Biologics, Inc.

2,498 mi

Surgery

2108 N ST, NUM 7934
Sacramento, CA 95816

Reassigned Medicare billing, New Jersey and New York enrollments
3 clinicians in this Medicare group

NPI 1376386763 (310) 445-5999

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

2,713 services668 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

533 services530 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

476 services327 patients

Removal of bone, each additional 20.0 sq cm or less 11047

This procedure involves the surgical removal of a specified amount of bone, typically due to disease or injury. Each additional 20.0 square cm or less refers to the size of the bone area being removed. It's a precise operation performed by skilled surgeons.

415 services32 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

407 services121 patients

Removal of bone, 20.0 sq cm or less 11044

The procedure involves the surgical removal of a section of bone, up to 20.0 square cm in size. This may be necessary due to various reasons such as injury, infection, or to treat a disease. The process aims to alleviate pain, enhance mobility, or prevent the spread of disease.

192 services47 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

121 services45 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

73 services59 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

65 services57 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

59 services59 patients

Removal of muscle and/or tissue, each additional 20.0 sq cm or less 11046

This procedure involves the removal of muscle and/or tissue, typically to treat disease or injury. An additional 20.0 square cm or less of tissue may be removed if necessary. The process is performed by a skilled medical professional to ensure your safety and recovery.

53 services18 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

30 services29 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

17 services17 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

14 services14 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

11 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FIRST CARE MEDICAL GROUP, INC

Internal Medicine

750 VALLEY BROOK AVE
LYNDHURST, NJ 07071

Bergen County (201) 896-0900

MS. JENNIFER LEE CRAWFORD MPA-C

Physician Assistant

750 VALLEY BROOK AVE
LYNDHURST, NJ 07071

Bergen County (201) 896-0900

FIRST CARE MEDICAL GROUP INC

Non-Pharmacy Dispensing Site

750 VALLEY BROOK AVE
LYNDHURST, NJ 07071

Bergen County (201) 896-0900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Schmalz's NPI number?

The NPI number for William Schmalz is 1689852428. It was assigned to this individual provider in the NPPES registry on February 4, 2008.

Where is William Schmalz located?

William Schmalz practices at 750 Valley Brook Ave, Lyndhurst, NJ 07071. The listed phone number is (973) 857-8995.

What is William Schmalz's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is William Schmalz enrolled in Medicare?

Yes. William Schmalz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for William Schmalz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Schmalz reassigns Medicare benefits to 4 organizations: Rockland Ny Medical Services, P.C. (New City, NY), Skilled Physicians Group (Glendale, CA), Skilled Facility Health Care Solutions Inc (Los Angeles, CA) and Skilled Biologics, Inc. (Sacramento, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Schmalz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Schmalz accept?

Health plans from UnitedHealthcare list William Schmalz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William Schmalz was last updated on March 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.