Organization Active NPI

Rachel Schwartz MD PLLC

  • Internal Medicine Physician
  • Lawrence, NY
National Provider Identifier
1710372156
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RACHEL SCHWARTZ MD PLLC
Practice address
100 Barrett Rd
Lawrence, NY 11559-2030
Phone
(516) 239-0203
Fax
(516) 239-0204
NPI assigned
Apr 2, 2015
Last updated
Apr 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Rachel M Schwartz, MDNPI 1790058261
Title
MD/Owner
Phone
(516) 239-0203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X NY Primary

Addresses

Primary practice location

100 Barrett Rd
Lawrence, NY 11559-2030

Mailing address

100 Barrett Rd
Lawrence, NY 11559-2030
Phone (516) 239-0203

Other identifiers 1

IdentifierTypeStateIssuer
04142669MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151002001683 NY Part B Supplier - Clinic/Group Practice 5799093217 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2121998Rachel Schwartz, MD, PLLC100 Barrett Road, Lawrence, NY 11559Certificate of waiverNov 16, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1710372156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BARRETT RD",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115592030",
            "telephone_number": "516-239-0203",
            "fax_number": "516-239-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BARRETT RD",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115592030",
            "telephone_number": "516-239-0203",
            "fax_number": "516-239-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL SCHWARTZ MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "516-239-0203",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04142669",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.