Individual provider Active NPI

Shira Swerdlik, MSPAS

  • Physician Assistant
  • Rockville Centre, NY
National Provider Identifier
1316699671
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
028184 Issued in NY
Practice address
2000 N Village Ave Ste 301
Rockville Centre, NY 11570-1001
Phone
(516) 678-8777
NPI assigned
Jan 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 028184 NY
Physician Assistant 363A00000X 028184 NY Primary

Addresses

Primary practice location

2000 N Village Ave Ste 301
Rockville Centre, NY 11570-1001

Mailing address

700 Old Country Road 203
Plainview, NY 11803-4932
Phone (516) 967-1011

Other practice location 1

700 Old Country Rd Ste 203
Plainview, NY 11803-4932
Phone (516) 822-9730

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Pulmonary Associates, PC CurrentSince Nov 5, 2023 Accepting new patients
Accurate Dermatology P.L.L.C. Dermatology PastSince Jul 2, 2023 Accepting new patients

Locations

2000 N Village Ave
Ste 301
Rockville Ctr, NY 11570
Phone (516) 678-8777

Organizations & group practices 2

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": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1316699671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OLD COUNTRY ROAD 203",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034932",
            "telephone_number": "516-967-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N VILLAGE AVE STE 301",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701001",
            "telephone_number": "516-678-8777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Old Country Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "118034932",
            "country_code": "US",
            "telephone_number": "516-822-9730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWERDLIK",
        "first_name": "SHIRA",
        "credential": "MSPAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2023-11-03",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "028184",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "028184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.