Organization Active NPI

Douglas a Schwartz, D.O., P.C. Eastside Medical Group

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1316021090
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
184275 Issued in NY
Legal business name
DOUGLAS A SCHWARTZ, D.O., P.C. EASTSIDE MEDICAL GROUP
Practice address
211 E 43Rd St RM 2300
New York, NY 10017-4707
Phone
(212) 644-6900
Fax
(212) 644-9600
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Douglas Anthony Schwartz, DO
Title
Physician
Phone
(212) 644-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 184275 NY Primary

Addresses

Primary practice location

211 E 43Rd St RM 2300
New York, NY 10017-4707

Mailing address

211 E 43Rd St RM 2300
New York, NY 10017-4707
Phone (212) 644-6900

Other identifiers 1

IdentifierTypeStateIssuer
01591226MedicaidNY

National Provider Directory

National Provider Directory

Locations

211 E 43rd St
Ste 2300
New York, NY 10017
Phone (212) 644-6900

210 E 86th St
Rm 600
New York, NY 10028
Phone (212) 717-8686

150 E 58th St
Ste 1801
New York, NY 10155
Phone (212) 644-6900

211 E 43rd St
Rm 2300
New York, NY 10017
Phone (212) 644-6900

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1316021090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 43RD ST RM 2300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174707",
            "telephone_number": "212-644-6900",
            "fax_number": "212-644-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 43RD ST RM 2300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174707",
            "telephone_number": "212-644-6900",
            "fax_number": "212-644-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS A SCHWARTZ, D.O., P.C. EASTSIDE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "212-644-6900",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "184275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01591226",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.