NPIMap

Organization Active NPI

Peter Schwartz, MD, PLLC

  • Ophthalmology Physician
  • Ithaca, NY
National Provider Identifier
1235212002
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
192270 Issued in NY
Legal business name
PETER SCHWARTZ, MD, PLLC
Practice address
2333 North Triphammer Road
Suite 403
Ithaca, NY 14850-1075
Phone
(607) 266-7600
Fax
(607) 266-7601
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Dr. Peter Scott Schwartz, MDNPI 1154371425
Title
Owner
Phone
(607) 266-7600

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 192270 NY Primary

Addresses

Primary practice location

2333 North Triphammer Road
Suite 403
Ithaca, NY 14850-1075

Mailing address

2333 North Triphammer Road
Suite 403
Ithaca, NY 14850-1075
Phone (607) 266-7600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060216000323 NY Part B Supplier - Clinic/Group Practice 1355356023 Receives reassigned benefits from 3 practitioners
Practice locations: Ithaca, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1235212002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 NORTH TRIPHAMMER ROAD",
            "address_2": "SUITE 403",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501075",
            "telephone_number": "607-266-7600",
            "fax_number": "607-266-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 NORTH TRIPHAMMER ROAD",
            "address_2": "SUITE 403",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501075",
            "telephone_number": "607-266-7600",
            "fax_number": "607-266-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER SCHWARTZ, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-266-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "192270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.