Organization Active NPI

Schwartz & Breecker MD Associates

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1184695595
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SCHWARTZ & BREECKER MD ASSOCIATES
Practice address
1015 Chestnut Street
Suite 1518
Philadelphia, PA 19107-4315
Phone
(215) 955-8706
Fax
(215) 955-8509
NPI assigned
Feb 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Dr. Marc L Schwartz, MDNPI 1700997079
Title
President
Phone
(215) 955-8706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1015 Chestnut Street
Suite 1518
Philadelphia, PA 19107-4315

Mailing address

1015 Chestnut Street
Suite 1518
Philadelphia, PA 19107-4315
Phone (215) 955-8706

Other identifiers 3

IdentifierTypeStateIssuer
CE6213OtherPARAILROAD MEDICARE
000801OtherPAPA BLUE SHIELD
0054860000OtherPAKEYSTONE HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040728001295 PA Part B Supplier - Clinic/Group Practice 1557331485 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

111 S 11th St
Ste G4280
Philadelphia, PA 19107
Phone (215) 955-8706

1015 Chestnut St
Ste 1518
Philadelphia, PA 19107
Phone (215) 955-1060

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1184695595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT STREET",
            "address_2": "SUITE 1518",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074315",
            "telephone_number": "215-955-8706",
            "fax_number": "215-955-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT STREET",
            "address_2": "SUITE 1518",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074315",
            "telephone_number": "215-955-8706",
            "fax_number": "215-955-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHWARTZ & BREECKER MD ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-955-8706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE6213",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA  BLUE SHIELD",
            "identifier": "000801",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN",
            "identifier": "0054860000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.