Mary Swajian, DO, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MB03788900 Issued in NJ

Practice address

381 Park St Suite 1a
Park Professional BLDG
Hackensack, NJ 07601

Phone

(201) 487-9790

Fax

(201) 487-9791

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407923774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 PARK ST SUITE 1A",
            "address_2": "PARK PROFESSIONAL BLDG",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-487-9790",
            "fax_number": "201-487-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 PARK ST SUITE 1A",
            "address_2": "PARK PROFESSIONAL BLDG",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-487-9790",
            "fax_number": "201-487-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAJIAN, DO",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB03788900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balaji Sutharsanam, M.D.
• Pamela Ruth Sutherland, RN, MSN, APN-BC
• Rebecca Sutton, MS, CGC, LGC
• Erik D Svensson, M.D.
• Natalie Svetlakov, D.D.S.
• Michelle Patricia Sweeney, RD
• Amina Raza Syed, MD
• Saima Ijaz Syed, DMD
• Syncere Consultants, Inc.
• Kristen C Szulc

• Physical Medicine & Rehabilitation Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.