Individual provider Active NPI

Harvey Steven Schwartzberg, M.D

  • Internal Medicine Physician
  • Port Jeff Sta, NY
National Provider Identifier
1497802888
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
168664-1 Issued in NY
Practice address
18 Roosevelt Ave
Suite a
Port Jeff Sta, NY 11776-3390
Phone
(631) 928-3327
Fax
(631) 828-5505
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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 168664-1 NY Primary

Addresses

Primary practice location

18 Roosevelt Ave
Suite a
Port Jeff Sta, NY 11776-3390

Mailing address

18 Roosevelt Ave
Suite a
Port Jefferson Station, NY 11776-3390
Phone (631) 928-3327

Other identifiers 2

IdentifierTypeStateIssuer
01010902MedicaidNY
110025655OtherNYRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120214000797 NY Practitioner - Internal Medicine 0648438069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18 Roosevelt Ave
Port Jeff Sta, NY 11776-3390
Phone (631) 928-2233

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
168664-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harvey Steven Schwartzberg MD PC Internal Medicine CurrentSince Jun 1, 1986 Accepting new patients

Locations

18 Roosevelt Ave
Ste A
Port Jefferson Station, NY 11776
Phone (631) 928-3327

18 Roosevelt Ave
Port Jefferson Station, NY 11776
Phone (631) 928-2233

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1497802888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ROOSEVELT AVE",
            "address_2": "SUITE A",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763390",
            "telephone_number": "631-928-3327",
            "fax_number": "631-828-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ROOSEVELT AVE",
            "address_2": "SUITE A",
            "city": "PORT JEFF STA",
            "state": "NY",
            "postal_code": "117763390",
            "telephone_number": "631-928-3327",
            "fax_number": "631-828-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZBERG",
        "first_name": "HARVEY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "168664-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01010902",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110025655",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jeff Sta, NY

Sources for this page

Verify at the official NPI Registry.