Individual provider Active NPI

Michael Howard Schwartz, D.D.S.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Lake Success, NY
National Provider Identifier
1518922012
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
040851 Issued in NY
Practice address
2001 Marcus Ave
Ste. N-10
Lake Success, NY 11042-1011
Phone
(516) 775-1818
Fax
(516) 775-0892
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 040851 NY
Oral and Maxillofacial Radiology Dentistry 1223X0008X 040851 NY
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 040851 NY Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 040851 NY

Addresses

Primary practice location

2001 Marcus Ave
Ste. N-10
Lake Success, NY 11042-1011

Mailing address

2001 Marcus Ave
Ste. N-10
Lake Success, NY 11042-1011
Phone (516) 775-1818

Other identifiers 1

IdentifierTypeStateIssuer
01145546MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061030000519 NY Practitioner - Oral Surgery 4385641695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2001 Marcus Ave
Suite N10
New Hyde Park, NY 11042-2048
Phone (516) 775-1818

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040851NYMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
New York Comprehensive Orthognathic and Maxillofacial Surgery PC Oral & Maxillofacial Surgery CurrentSince Aug 1, 2006 Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients

Locations

2001 Marcus Ave
Ste N10
New Hyde Park, NY 11042
Phone (516) 775-1818

474 Montauk Hwy
Ste A
West Islip, NY 11795
Phone (631) 482-9800

474 Montauk Hwy
West Islip, NY 11795
Phone (516) 775-1818

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 1

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1518922012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "STE. N-10",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421011",
            "telephone_number": "516-775-1818",
            "fax_number": "516-775-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "STE. N-10",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421011",
            "telephone_number": "516-775-1818",
            "fax_number": "516-775-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "MICHAEL",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NY",
            "license": "040851",
            "primary": false
        },
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "NY",
            "license": "040851",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "040851",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "040851",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01145546",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Success, NY

Sources for this page

Verify at the official NPI Registry.