Individual provider Active NPI

Miriam Schwartz, APRN

  • Family Nurse Practitioner
  • South Windsor, CT
National Provider Identifier
1750369625
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
002404 Issued in CT
Practice address
1050 Sullivan Ave Ste A4
South Windsor, CT 06074-2000
Phone
(860) 648-2748
Fax
(860) 648-2751
NPI assigned
Jan 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 002404 CT Primary

Addresses

Primary practice location

1050 Sullivan Ave Ste A4
South Windsor, CT 06074-2000

Mailing address

1050 Sullivan Ave Ste A4
South Windsor, CT 06074-2000
Phone (860) 648-2748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20051017000556 CT Practitioner - Nurse Practitioner 6901822238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

701 Cottage Grove Rd
Suite F210
Bloomfield, CT 06002-3094
Phone (860) 969-3433

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2404CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Innovative Health, PLLC CurrentSince Mar 1, 2020 Accepting new patients
Hartford Physician Services PC Past Accepting new patients
Collins Medical Associates 2 PC Family Past Accepting new patients
Rheumatology and Allergy Institute of CT, LLC Past Accepting new patients

Locations

701 Cottage Grove Rd
Ste F210
Bloomfield, CT 06002
Phone (860) 243-1999

Organizations & group practices 4

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": "1136160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1750369625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SULLIVAN AVE STE A4",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742000",
            "telephone_number": "860-648-2748",
            "fax_number": "860-648-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SULLIVAN AVE STE A4",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742000",
            "telephone_number": "860-648-2748",
            "fax_number": "860-648-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "MIRIAM",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-02",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

Verify at the official NPI Registry.