Individual provider Active NPI

Eric A. Schwartz, MD

  • Dermatology Physician
  • Brookline, MA
National Provider Identifier
1316046139
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
46642 Issued in MA
Practice address
One Brookline Place
Suite 406
Brookline, MA 02445-7296
Phone
(617) 277-8332
Fax
(617) 277-8105
NPI assigned
Sep 21, 2006
Last updated
Aug 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 46642 MA Primary

Addresses

Primary practice location

One Brookline Place
Suite 406
Brookline, MA 02445-7296

Mailing address

One Brookline Place
Suite 406
Brookline, MA 02445-7296
Phone (617) 277-8332

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mystic Valley Dermatology Associates, P.C. Dermatology Past Accepting new patients
Family Dermatology of Pennsylvania, PC Dermatology PastSince Feb 13, 2011 Accepting new patients
Brookline Village Dermatology PC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1316046139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE BROOKLINE PLACE",
            "address_2": "SUITE 406",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457296",
            "telephone_number": "617-277-8332",
            "fax_number": "617-277-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BROOKLINE PLACE",
            "address_2": "SUITE 406",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457296",
            "telephone_number": "617-277-8332",
            "fax_number": "617-277-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "ERIC",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "46642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.