Individual provider Active NPI

Justin Schwartz, PA

  • Physician Assistant
  • East Meadow, NY
National Provider Identifier
1700616323
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
032289 Issued in NY
Practice address
2310 Hempstead Tpke
East Meadow, NY 11554-2035
Phone
(516) 346-5090
Fax
(516) 346-5091
NPI assigned
Aug 7, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 032289 NY Primary

Addresses

Primary practice location

2310 Hempstead Tpke
East Meadow, NY 11554-2035

Mailing address

PO Box 461
Great River, NY 11739-0461
Phone (631) 433-1159

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
I20241104000227 NY Practitioner - Physician Assistant 9537691589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Urgent Care PLLCGroup PAC ID 1355636440, 17 clinicians

Practice addresses (Care Compare)

1037 Fulton St
Farmingdale, NY 11735-4700
Phone (631) 576-4190

125 Sunrise Hwy
West Islip, NY 11795-2023
Phone (631) 983-4084

2310 Hempstead Tpke
East Meadow, NY 11554-2035
Phone (516) 346-5090

24 Railroad Ave
Patchogue, NY 11772-3518
Phone (631) 615-7439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
032289NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Suffolk Medical PLLC Single Specialty CurrentSince Oct 2, 2025 Accepting new patients
A.P. New York Comprehensive Medical Care PC Single Specialty PastSince Aug 11, 2024 Accepting new patients

Locations

125 Sunrise Hwy
West Islip, NY 11795
Phone (631) 376-6075

Organizations & group practices 3

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": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1700616323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 461",
            "city": "GREAT RIVER",
            "state": "NY",
            "postal_code": "117390461",
            "telephone_number": "631-433-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542035",
            "telephone_number": "516-346-5090",
            "fax_number": "516-346-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "032289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.