Active NPI
Fredric E. Schwartz
- Pharmacist
- Glen Oaks, NY
National Provider Identifier
1457529075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045637
- Practice address
- 25817 Union Tpke
Glen Oaks, NY 11004-1249 - Phone
- (718) 831-6229
- Fax
- (718) 831-6231
- NPI assigned
- Feb 17, 2008
- Last updated
- Feb 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 045637 | NY | Primary |
Addresses
Primary practice location
25817 Union Tpke
Glen Oaks, NY 11004-1249
Mailing address
20725 28TH Ave
Bayside, NY 11360-2406
Phone (718) 225-8108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045637 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waldbaum Inc | Past | Accepting new patients | |
| Waldbaum Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203206400000",
"number": "1457529075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20725 28TH AVE",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113602406",
"telephone_number": "718-225-8108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25817 UNION TPKE",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041249",
"telephone_number": "718-831-6229",
"fax_number": "718-831-6231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "FREDRIC",
"middle_name": "E.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-17",
"last_updated": "2008-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "045637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Oaks, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.