Organization Active NPI

Michael Schwartz, M.D., P.C.

  • Psychiatry Physician
  • Melville, NY
National Provider Identifier
1205081536
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
138285 Issued in NY
Legal business name
MICHAEL SCHWARTZ, M.D., P.C.
Practice address
150 Broadhollow Rd
Suite 204
Melville, NY 11747-4905
Phone
(631) 385-3313
Fax
(631) 385-3346
NPI assigned
Dec 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Michael Schwartz, MDNPI 1295756005
Title
Ceo
Phone
(631) 495-1745

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 138285 NY Primary

Addresses

Primary practice location

150 Broadhollow Rd
Suite 204
Melville, NY 11747-4905

Mailing address

150 Broadhollow Rd
Suite 204
Melville, NY 11747-4905
Phone (631) 385-3313

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121231000045 NY Part B Supplier - Clinic/Group Practice 8325291248 Receives reassigned benefits from 1 practitioner
Practice locations: Melville, NY

National Provider Directory

National Provider Directory

Locations

150 Broadhollow Rd
Ste 204
Melville, NY 11747
Phone (516) 972-5660

Practitioners & affiliated clinicians

Practitioners 1

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": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1205081536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BROADHOLLOW RD",
            "address_2": "SUITE 204",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474905",
            "telephone_number": "631-385-3313",
            "fax_number": "631-385-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BROADHOLLOW RD",
            "address_2": "SUITE 204",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474905",
            "telephone_number": "631-385-3313",
            "fax_number": "631-385-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SCHWARTZ, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-495-1745",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "138285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.