Organization Active NPI

Schwarz Dermatology PLLC

  • Dermatology Physician
  • North Wales, PA
National Provider Identifier
1346792645
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD435409 Issued in PA
Legal business name
SCHWARZ DERMATOLOGY PLLC
Practice address
1501 Lower State Rd
Suite 100
North Wales, PA 19454-1216
Phone
(215) 589-7373
Fax
(215) 589-7374
NPI assigned
Nov 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Dr. Emily J Schwarz, MDNPI 1316169865
Title
Sole Member
Phone
(215) 589-7373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X MD435409 PA Primary

Addresses

Primary practice location

1501 Lower State Rd
Suite 100
North Wales, PA 19454-1216

Mailing address

2804 River Willow Dr
Furlong, PA 18925-1540
Phone (919) 259-5991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170118000587 PA Part B Supplier - Clinic/Group Practice 5698057198 Receives reassigned benefits from 1 practitioner
Practice locations: North Wales, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2133964Schwarz Dermatology PLLC1501 Lower State Rd, Suite 100, North Wales, PA 19454Certificate of waiverJul 23, 2027

National Provider Directory

National Provider Directory

Locations

1501 Lower State Rd
Ste 100
North Wales, PA 19454
Phone (215) 589-7373

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": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1346792645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 RIVER WILLOW DR",
            "city": "FURLONG",
            "state": "PA",
            "postal_code": "189251540",
            "telephone_number": "919-259-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LOWER STATE RD",
            "address_2": "SUITE 100",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541216",
            "telephone_number": "215-589-7373",
            "fax_number": "215-589-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHWARZ DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "SCHWARZ",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "215-589-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD435409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.