Active NPI
Nyc Stereotactic Radiosurgery , PLLC
- Radiation Oncology Physician
- New York, NY
National Provider Identifier
1114242989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- NYC STEREOTACTIC RADIOSURGERY , PLLC
- Practice address
- 430 West 55 Street Nyc Stereotactic Radiosurgery,PLLC
Ground Floor
New York, NY 10019-4403 - Phone
- (718) 761-4444
- Fax
- (718) 761-4453
- NPI assigned
- Apr 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Lawence Schwartz, M.D.,
- Title
- Medical Director
- Phone
- (718) 351-9750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
430 West 55 Street Nyc Stereotactic Radiosurgery,PLLC
Ground Floor
New York, NY 10019-4403
Mailing address
1855 Richmond Ave
Suite 101
Staten Island, NY 10314-3912
Phone (718) 761-4444
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270425600000",
"number": "1114242989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 RICHMOND AVE",
"address_2": "SUITE 101",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143912",
"telephone_number": "718-761-4444",
"fax_number": "718-761-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 WEST 55 STREET NYC STEREOTACTIC RADIOSURGERY,PLLC",
"address_2": "GROUND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100194403",
"telephone_number": "718-761-4444",
"fax_number": "718-761-4453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NYC STEREOTACTIC RADIOSURGERY , PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-05",
"last_updated": "2010-04-05",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "LAWENCE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "718-351-9750",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D.,"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.