NPIMap

Individual provider Active NPI

Jason Taylor Schwartz, D.O.

  • Family Medicine Physician
  • Wainscott, NY
National Provider Identifier
1467747790
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
267235 Issued in NY
Practice address
386 Montauk Hwy Ste 5
Wainscott, NY 11975-2000
Phone
(631) 537-3765
Fax
(631) 537-4296
NPI assigned
Jun 15, 2011
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 267235 NY Primary

Addresses

Primary practice location

386 Montauk Hwy Ste 5
Wainscott, NY 11975-2000

Mailing address

4 Springville Rd Ste B
Hampton Bays, NY 11946-2290
Phone (631) 537-3765

Other practice location 1

83 Wainscott NW Rd
Wainscott, NY 11975
Phone (631) 537-1892

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150608001547 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 3173701091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Lincoln Memorial University Medical Department, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meeting House Lane Medical Practice PCGroup PAC ID 6800972589, 125 clinicians

Practice addresses (Care Compare)

3330 Noyac Rd
Sag Harbor, NY 11963-1930
Phone (631) 725-2112

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
267235NYMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Meeting House Lane Medical Practice PC CurrentSince Mar 7, 2016 Accepting new patients
Merritt B White DO PC Family Medicine PastSince Mar 7, 2016 Accepting new patients

Locations

470 Pantigo Rd
East Hampton, NY 11937
Phone (631) 329-5900

4 Springville Rd
Ste B
Hampton Bays, NY 11946

325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100

57 Hampton Rd
Ste 201
Southampton, NY 11968
Phone (631) 283-1126

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jason.schwartz.p1@direct.shproviders.nextgenshare.com

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.

Hospital & facility affiliations 7

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": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1467747790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SPRINGVILLE RD STE B",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462290",
            "telephone_number": "631-537-3765",
            "fax_number": "631-537-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 MONTAUK HWY STE 5",
            "city": "WAINSCOTT",
            "state": "NY",
            "postal_code": "119752000",
            "telephone_number": "631-537-3765",
            "fax_number": "631-537-4296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Wainscott NW Rd",
            "address_purpose": "LOCATION",
            "city": "Wainscott",
            "state": "NY",
            "postal_code": "11975",
            "country_code": "US",
            "telephone_number": "631-537-1892",
            "fax_number": "631-537-3053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "JASON",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "267235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wainscott, NY

Sources for this page

Verify at the official NPI Registry.