Individual provider Active NPI

William Thomas Swart Jr., MD

  • Family Medicine Physician
  • Perry Point, MD
National Provider Identifier
1275504151
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08507800 Issued in NJ
Practice address
VA Medical Healthcare System Perry Point
Building 23
Perry Point, MD 21902
Phone
(410) 642-2411
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08507800 NJ Primary

Addresses

Primary practice location

VA Medical Healthcare System Perry Point
Building 23
Perry Point, MD 21902

Mailing address

VA Medical Healthcare System Perry Point
Building 23
Perry Point, MD 21902
Phone (410) 642-2411

Other identifiers 1

IdentifierTypeStateIssuer
0189421MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190212000604 MD Order and Referring Only - Family PracticePractitioner - Family Practice 4688731391

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08507800NJMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1275504151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VA MEDICAL HEALTHCARE SYSTEM PERRY POINT",
            "address_2": "BUILDING 23",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "21902",
            "telephone_number": "410-642-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA MEDICAL HEALTHCARE SYSTEM PERRY POINT",
            "address_2": "BUILDING 23",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "21902",
            "telephone_number": "410-642-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWART",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08507800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0189421",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry Point, MD

Sources for this page

Verify at the official NPI Registry.