Active NPI
Schwartz Gynecologic Oncology, PLLC
Doing business as Island Gynecologic Oncology
- Gynecologic Oncology Physician
- Brightwaters, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- Legal business name
- SCHWARTZ GYNECOLOGIC ONCOLOGY, PLLC
- Doing business as
- Island Gynecologic Oncology
- Practice address
- 404 Potter Boulevard
Brightwaters, NY 11718-1830 - Phone
- (631) 376-0055
- Fax
- (631) 376-0099
- NPI assigned
- May 17, 2006
- Last updated
- Jan 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Benjamin M. Schwartz, M.D.
- Title
- Medical Director
- Phone
- (631) 376-0055
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | NU | Primary |
Addresses
Primary practice location
404 Potter Boulevard
Brightwaters, NY 11718-1830
Mailing address
404 Potter Blvd
Brightwaters, NY 11718-1830
Phone (631) 376-0055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02269767 | Medicaid | NY |
Other names 1
- Island Gynecologic Oncology
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gynecologic Oncology Physician
- Brightwaters, NY
- NPI 1235164120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294272000000",
"number": "1609828672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 POTTER BLVD",
"city": "BRIGHTWATERS",
"state": "NY",
"postal_code": "117181830",
"telephone_number": "631-376-0055",
"fax_number": "631-376-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 POTTER BOULEVARD",
"city": "BRIGHTWATERS",
"state": "NY",
"postal_code": "117181830",
"telephone_number": "631-376-0055",
"fax_number": "631-376-0099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHWARTZ GYNECOLOGIC ONCOLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2011-01-06",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "631-376-0055",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02269767",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Island Gynecologic Oncology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brightwaters, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.