Organization Active NPI

Nyc Stereotactic Radiosurgery , PLLC

  • Radiation Oncology Physician
  • New York, NY
National Provider Identifier
1114242989
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
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

Updated by the provider on Apr 5, 2010

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)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.