Active NPI
Malcolm S Schwartz, D.O.
- Pediatric Endocrinology Physician
- Long Branch, NJ
National Provider Identifier
1801851076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- 25MB02390300
- Practice address
- 133 Pavilion Ave
Long Branch, NJ 07740-6415 - Phone
- (732) 923-1170
- Fax
- (732) 923-1176
- NPI assigned
- Apr 19, 2006
- Last updated
- Sep 29, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | 25MB02390300 | NJ | Primary |
Addresses
Primary practice location
133 Pavilion Ave
Long Branch, NJ 07740-6415
Mailing address
384 Ocean Ave N
Suite 4D
Long Branch, NJ 07740-7763
Phone (732) 923-1170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0808105 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB02390300 | NJ | MD | Pediatric Endocrinology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411948800000",
"number": "1801851076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "384 OCEAN AVE N",
"address_2": "SUITE 4D",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077407763",
"telephone_number": "732-923-1170",
"fax_number": "732-923-1176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 PAVILION AVE",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077406415",
"telephone_number": "732-923-1170",
"fax_number": "732-923-1176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "MALCOLM",
"middle_name": "S",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2014-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "NJ",
"license": "25MB02390300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0808105",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Branch, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.