Individual provider Active NPI

Glenn E. Schwartz, M.D.

  • Diagnostic Radiology Physician
  • Lynbrook, NY
National Provider Identifier
1144207168
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
143725 Issued in NY
Practice address
360 Merrick Rd FL 1
Lynbrook, NY 11563-2526
Phone
(165) 887-3516
Fax
(516) 887-0331
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 143725 NY Primary

Addresses

Primary practice location

360 Merrick Rd FL 1
Lynbrook, NY 11563-2526

Mailing address

360 Merrick Rd FL 1
Lynbrook, NY 11563-2526
Phone (165) 887-3516

Other identifiers 1

IdentifierTypeStateIssuer
00881681MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address records@linc.criterionsdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623001680 NY Practitioner - Diagnostic Radiology 7416932249 Reassigns benefits to 1 organization
Practice locations: Lynbrook, NY

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Neurology ConsultantsGroup PAC ID 8729155239, 8 clinicians

Practice addresses (Care Compare)

360 Merrick Rd
FL 1
Lynbrook, NY 11563-2526
Phone 5168873516108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Neurology Consultants Diagnostic Radiology CurrentSince Jul 8, 2020 Accepting new patients
CHS Physician Partners, P.C Past Accepting new patients
Gotham Diagnostic Imaging, P. C. Past Accepting new patients
N. S. So Island Diag GRP Past Accepting new patients
Island Neurological Associates, P. C. Past Accepting new patients

Locations

227 Franklin Ave
Hewlett, NY 11557
Phone (516) 295-5500

360 Merrick Rd
Fl 1
Lynbrook, NY 11563
Phone (516) 887-3516

777 Sunrise Hwy
Ste 200
Lynbrook, NY 11563
Phone (516) 887-3516

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: records@linc.criterionsdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1144207168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MERRICK RD FL 1",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632526",
            "telephone_number": "165-887-3516",
            "fax_number": "516-887-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MERRICK RD FL 1",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632526",
            "telephone_number": "165-887-3516",
            "fax_number": "516-887-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "GLENN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "143725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00881681",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@linc.criterionsdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "360 Merrick Rd Fl 1",
            "city": "Lynbrook",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115632526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.