Individual provider Active NPI

Marie Jean Schwarz, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Centereach, NY
National Provider Identifier
1265832372
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401755-1 Issued in NY
Practice address
2539 Middle Country Rd
Suite 4
Centereach, NY 11720-3503
Phone
(631) 737-6434
Fax
(631) 738-1226
NPI assigned
Aug 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401755-1 NY Primary

Addresses

Primary practice location

2539 Middle Country Rd
Suite 4
Centereach, NY 11720-3503

Mailing address

2539 Middle Country Rd
Centereach, NY 11720-3503
Phone (631) 737-6434

Other identifiers 1

IdentifierTypeStateIssuer
F401755-1OtherNYLICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141031000652 NY Practitioner - Nurse Practitioner 0749401974 Reassigns benefits to 1 organization
Practice locations: Babylon, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

133 E Main St
Suite 3H
Babylon, NY 11702-3517
Phone (631) 321-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F401755-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marie Jean Schwarz Nurse Practitioner in Psychiatry PC Psychiatric/Mental Health CurrentSince Nov 1, 2020 Accepting new patients
Middle Country Family Medicine P C PastSince Dec 12, 2001 Accepting new patients
Eric Spronz, Psychiatric Nurse Practitioner P.C. PastSince Oct 4, 2020 Accepting new patients

Locations

133 E Main St
Ste 3H
Babylon, NY 11702
Phone (631) 321-1500

Organizations & group practices 3

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": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1265832372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 MIDDLE COUNTRY RD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203503",
            "telephone_number": "631-737-6434",
            "fax_number": "631-738-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 MIDDLE COUNTRY RD",
            "address_2": "SUITE 4",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203503",
            "telephone_number": "631-737-6434",
            "fax_number": "631-738-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARZ",
        "first_name": "MARIE",
        "middle_name": "JEAN",
        "credential": "NPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401755-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "F401755-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centereach, NY

Sources for this page

Verify at the official NPI Registry.