Active NPI
Charles I Schwartz, MD
- Urology Physician
- Saratoga Springs, NY
National Provider Identifier
1699799312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 160913
- Practice address
- 19 West Ave Ste 103
Saratoga Springs, NY 12866-6052 - Phone
- (518) 583-0111
- Fax
- (518) 583-2426
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 160913 | NY | Primary |
Addresses
Primary practice location
19 West Ave Ste 103
Saratoga Springs, NY 12866-6052
Mailing address
319 S Manning Blvd Ste 106
Albany, NY 12208-1743
Phone (518) 438-0507
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1099051 | Other | NY | GHI PPO |
| 10001837 | Other | NY | CDP |
| 000434036009 | Other | NY | BLUE SHIELD OF NORTHEASTE |
| 92953 | Other | NY | GHI HMO |
| 4S2492 | Other | NY | EMPIRE BLUE CROSS BLUE SH |
| 7410002 | Other | NY | AETNA |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699799312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 S MANNING BLVD STE 106",
"city": "ALBANY",
"state": "NY",
"postal_code": "122081743",
"telephone_number": "518-438-0507",
"fax_number": "518-438-0981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 WEST AVE STE 103",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128666052",
"telephone_number": "518-583-0111",
"fax_number": "518-583-2426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "CHARLES",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "160913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "1099051",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDP",
"identifier": "10001837",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF NORTHEASTE",
"identifier": "000434036009",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "92953",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS BLUE SH",
"identifier": "4S2492",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7410002",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.