Individual provider Active NPI

Gary Schwartz, MD

  • Cardiovascular Disease Physician
  • East Norriton, PA
National Provider Identifier
1235103409
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD030057E Issued in PA
Practice address
609 West Germantown Pike Ste 120
Medical Arts Building
East Norriton, PA 19403
Phone
(610) 279-1370
Fax
(610) 279-1372
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD030057E PA Primary

Addresses

Primary practice location

609 West Germantown Pike Ste 120
Medical Arts Building
East Norriton, PA 19403

Mailing address

207 N Broad St
3Rd FLR.
Philadelphia, PA 19107-1500
Phone (267) 479-4142

Other practice location 1

20000 Shannondell Drive
Bradford Clubhouse, Fl 2
Audubon, PA 19403-5653
Phone (610) 831-0300

Other practice location 2

100 Market St Ste 400
Collegeville, PA 19426-4927
Phone (610) 831-0300

Other identifiers 1

IdentifierTypeStateIssuer
000972967MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1235103409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N BROAD ST",
            "address_2": "3RD FLR.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071500",
            "telephone_number": "267-479-4142",
            "fax_number": "215-463-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 WEST GERMANTOWN PIKE STE 120",
            "address_2": "MEDICAL ARTS BUILDING",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "19403",
            "telephone_number": "610-279-1370",
            "fax_number": "610-279-1372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20000 Shannondell Drive",
            "address_2": "Bradford Clubhouse, Fl 2",
            "address_purpose": "LOCATION",
            "city": "Audubon",
            "state": "PA",
            "postal_code": "194035653",
            "country_code": "US",
            "telephone_number": "610-831-0300",
            "fax_number": "610-831-1334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Market St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Collegeville",
            "state": "PA",
            "postal_code": "194264927",
            "country_code": "US",
            "telephone_number": "610-831-0300",
            "fax_number": "610-831-1334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD030057E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000972967",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.