Individual provider Active NPI

Mark Philip Schwartz, MD

  • Addiction Medicine (Family Medicine) Physician
  • Princeton, NJ
National Provider Identifier
1801833520
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
MA04885900 Issued in NJ
Practice address
116 Village Blvd
Suite 200
Princeton, NJ 08540-5700
Phone
(732) 600-7221
Fax
(609) 951-2209
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X MA04885900 NJ Primary

Addresses

Primary practice location

116 Village Blvd
Suite 200
Princeton, NJ 08540-5700

Mailing address

116 Village Blvd
Suite 200
Princeton, NJ 08540-5700
Phone (732) 600-7221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420000061 NJ Practitioner - Addiction MedicinePractitioner - Family Practice 0244225076 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA04885900NJMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton House Provider Group LLC CurrentSince Sep 1, 2015 Accepting new patients
Princeton Healthcare System, a New Jersey Non-Profit Corporation Past Accepting new patients
Community Hospital Group, Inc Past Accepting new patients
Community Hospital Group Inc Past Accepting new patients
Community Hospital Group, Inc Past Accepting new patients
Plainfield Emergency Physicians, PA Past Accepting new patients
Middlesex Emergency Physicians, P.a. Past Accepting new patients

Locations

993 Lenox Dr
Ste 207
Lawrenceville, NJ 08648

1460 Livingston Ave
Bldg 100
North Brunswick, NJ 08902
Phone (732) 729-3600

905 Herrontown Rd
Princeton, NJ 08540
Phone (609) 497-3300

Organizations & group practices 7

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1801833520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 VILLAGE BLVD",
            "address_2": "SUITE 200",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405700",
            "telephone_number": "732-600-7221",
            "fax_number": "609-951-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 VILLAGE BLVD",
            "address_2": "SUITE 200",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405700",
            "telephone_number": "732-600-7221",
            "fax_number": "609-951-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "MARK",
        "middle_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NJ",
            "license": "MA04885900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.