Dina Marie Schwartz, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Keyport, NJ
NPI 1700319795 · NPPES record last updated Jun 22, 2022
Key facts
- NPI
- 1700319795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 026473-1 (NY)
- Practice address
- 366 Hawthorne St
Keyport, NJ 07735-5163 - Phone
- (917) 439-0637
- NPI assigned
- Apr 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250424003690 | NY | Practitioner - Qualified Speech Language Pathologist | 2567988231 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026473-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Wide Speech | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 026473-1 | NY | Yes |
Addresses
Primary practice location
366 Hawthorne St
Keyport, NJ 07735-5163
Mailing address
366 Hawthorne St
Keyport, NJ 07735-5163
Phone (917) 439-0637
Other providers in Keyport, NJ
- Regent Staffing LLC Dba Regent Healthcare Agency
- Rachel Lee Riemenschneider
- Lorrie Robayo
- Maureen Frances Rubin
- Karen R. Rutt
- Marisa Anne Silva
- Ma Elena C Soriano
- Beryl Sowah
- Specs for Less Inc
- Sterling Healthcare Services
All providers in Keyport, NJ · Speech-Language Pathologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.