Active NPI
Schwarz Dermatology PLLC
- Dermatology Physician
- North Wales, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD435409
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Emily J Schwarz, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2133964 | Schwarz Dermatology PLLC | Certificate of waiver | Jul 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dermatology Physician
- North Wales, PA
- NPI 1316169865
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.