Individual provider Active NPI

Gary D Schwartz, MD

  • Internal Medicine Physician
  • Hackensack, NJ
National Provider Identifier
1366443780
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05961700 Issued in NJ
Practice address
20 Prospect Ave
Suite 516
Hackensack, NJ 07601-1997
Phone
(201) 488-8989
Fax
(201) 996-5765
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05961700 NJ Primary

Addresses

Primary practice location

20 Prospect Ave
Suite 516
Hackensack, NJ 07601-1997

Mailing address

20 Prospect Ave
Ste 516
Hackensack, NJ 07601-1989
Phone (973) 223-0418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070915000132 NJ Practitioner - Internal Medicine 6709970171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 Prospect Ave
Hackensack, NJ 07601-1989
Phone (201) 488-8989

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
  • Visiting Health Services of New Jersey Home health agency, Woodland Park, NJ, CCN 317058
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05961700NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gary D. Schwartz, MD PC Internal Medicine CurrentSince Jul 1, 2007 Accepting new patients

Locations

20 Prospect Ave
Ste 516
Hackensack, NJ 07601
Phone (201) 488-8989

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1366443780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "STE 516",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011989",
            "telephone_number": "973-223-0418",
            "fax_number": "973-547-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "SUITE 516",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "201-488-8989",
            "fax_number": "201-996-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "GARY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05961700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.