Organization Active NPI

Hicksville Internal Medicine PC

  • Internal Medicine Physician
  • Hicksville, NY
National Provider Identifier
1366711731
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HICKSVILLE INTERNAL MEDICINE PC
Practice address
43 Barter LN
Hicksville, NY 11801-3904
Phone
(516) 579-5502
Fax
(516) 579-9077
NPI assigned
Dec 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Dr. David G Schwartz, D.O.
Title
President
Phone
(516) 579-5502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X NY Primary

Addresses

Primary practice location

43 Barter LN
Hicksville, NY 11801-3904

Mailing address

43 Barter LN
Hicksville, NY 11801-3904
Phone (516) 579-5502

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1366711731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BARTER LN",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013904",
            "telephone_number": "516-579-5502",
            "fax_number": "516-579-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BARTER LN",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013904",
            "telephone_number": "516-579-5502",
            "fax_number": "516-579-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKSVILLE INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-579-5502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.