Individual provider Active NPI

Danielle Schwartz

  • Internal Medicine Physician
  • Stony Brook, NY
National Provider Identifier
1649633637
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
298061 Issued in NY
Practice address
Dept of Medicine HSC Level 16 Suny Stony
Stony Brook, NY 11794-0001
Phone
(631) 444-2058
Fax
(631) 444-2493
NPI assigned
Mar 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 298061 NY Primary

Addresses

Primary practice location

Dept of Medicine HSC Level 16 Suny Stony
Stony Brook, NY 11794-0001

Mailing address

Dept of Medicine HSC Level 16 Suny Stony
Stony Brook, NY 11794-0001
Phone (631) 444-2058

Other practice location 1

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 241-6585

Other practice location 2

234 E 85th St
New York, NY 10028-3001
Phone (212) 241-6585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190626000523 NY Practitioner - Internal Medicine 3072854108 Reassigns benefits to 1 organization
I20220121001471 NJ Practitioner - Internal Medicine 3072854108 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
298061NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Ritu Suri MD, LLC CurrentSince Feb 28, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients

Locations

245 Engle St
Ste 1A
Englewood, NJ 07631
Phone (201) 569-5330

245 Engle St
Englewood, NJ 07631
Phone (201) 568-0770

234 E 85th St
New York, NY 10028
Phone (212) 241-6585

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1649633637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT OF MEDICINE HSC LEVEL 16 SUNY STONY",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-444-2058",
            "fax_number": "631-444-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT OF MEDICINE HSC LEVEL 16 SUNY STONY",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-444-2058",
            "fax_number": "631-444-2493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296504",
            "country_code": "US",
            "telephone_number": "212-241-6585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "234 E 85th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100283001",
            "country_code": "US",
            "telephone_number": "212-241-6585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "298061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.