Individual provider Active NPI

Phyllis Schwartz, TEACHER

  • Blind Rehabilitation Specialist/Technologist
  • East Meadow, NY
National Provider Identifier
1558009506
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Blind Rehabilitation Specialist/TechnologistTaxonomy code 2255R0406X
License
667E12774 Issued in NY
Practice address
485 Coakley St
East Meadow, NY 11554-3812
Phone
(516) 489-9225
Fax
(516) 489-9526
NPI assigned
May 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Blind Rehabilitation Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2255R0406X 667E12774 NY Primary

Addresses

Primary practice location

485 Coakley St
East Meadow, NY 11554-3812

Mailing address

485 Coakley St
East Meadow, NY 11554-3812
Phone (516) 489-9225

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

LicenseStateTypeSpecialty
667E12774NYMDBlind Rehabilitation Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1558009506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 COAKLEY ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543812",
            "telephone_number": "516-489-9225",
            "fax_number": "516-489-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 COAKLEY ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543812",
            "telephone_number": "516-489-9225",
            "fax_number": "516-489-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "PHYLLIS",
        "credential": "TEACHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255R0406X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Rehabilitation, Blind",
            "state": "NY",
            "license": "667E12774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.