Organization Active NPI

J. Schwartz, MD, PLLC

  • Dermatology Physician
  • Troy, NY
National Provider Identifier
1811377575
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
J. SCHWARTZ, MD, PLLC
Practice address
137 Hoosick St
Troy, NY 12180-2323
Phone
(518) 274-4305
Fax
(518) 271-1880
NPI assigned
Jun 8, 2015
Last updated
Jun 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Dr. Joseph J Schwartz, MDNPI 1104865823
Title
Owner
Phone
(518) 274-4305

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
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

137 Hoosick St
Troy, NY 12180-2323

Mailing address

137 Hoosick St
Troy, NY 12180-2323
Phone (518) 274-4305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150630000169 NY Part B Supplier - Clinic/Group Practice 1951613272 Receives reassigned benefits from 7 practitioners
Practice locations: Clifton Park, NY; Troy, NY

National Provider Directory

National Provider Directory

Locations

954 Route 146
Ste 3
Clifton Park, NY 12065
Phone (518) 274-4305

137 Hoosick St
Troy, NY 12180
Phone (518) 274-4305

Practitioners & affiliated clinicians

Practitioners 7

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": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1811377575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 HOOSICK ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802323",
            "telephone_number": "518-274-4305",
            "fax_number": "518-271-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 HOOSICK ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802323",
            "telephone_number": "518-274-4305",
            "fax_number": "518-271-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. SCHWARTZ, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-274-4305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.