Individual provider Active NPI

Mark Jesse Schwartz, NP

  • Family Nurse Practitioner
  • Hauppauge, NY
National Provider Identifier
1699471086
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351348 Issued in NY
Practice address
750 Veterans Memorial Highway
Suite 205
Hauppauge, NY 11788-2943
Phone
(718) 801-6318
Fax
(718) 798-0988
NPI assigned
Feb 6, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 751097 NY
Family Nurse Practitioner 363LF0000X 351348 NY Primary

Addresses

Primary practice location

750 Veterans Memorial Highway
Suite 205
Hauppauge, NY 11788-2943

Mailing address

PO Box 30114
Staten Island, NY 10303-0114

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231221002770 NY Practitioner - Nurse Practitioner 5294185955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

750 Veterans Memorial Hwy
Suite 205
Hauppauge, NY 11788-2943
Phone (718) 801-6318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
751097NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Family Health NP, P.C. CurrentSince Oct 2, 2023 Accepting new patients

Locations

750 Veterans Memorial Hwy
Ste 205
Hauppauge, NY 11788
Phone (631) 724-5522

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.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1699471086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30114",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103030114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 VETERANS MEMORIAL HIGHWAY",
            "address_2": "SUITE 205",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882943",
            "telephone_number": "718-801-6318",
            "fax_number": "718-798-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "MARK",
        "middle_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "751097",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.