Individual provider Active NPI

Sumner I Schwarz, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1861582959
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
041352 Issued in NY
Practice address
430 E 20TH St
Suite MH
New York, NY 10009-8201
Phone
(212) 473-4151
Fax
(646) 414-2004
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 041352 NY Primary

Addresses

Primary practice location

430 E 20TH St
Suite MH
New York, NY 10009-8201

Mailing address

430 E 20TH St
Suite MH
New York, NY 10009-8201
Phone (212) 473-4151

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227001522 NJ Order and Referring Only - DentistPractitioner - Dentist 5092030320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041352NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jasjit Basra DDS PC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861582959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E 20TH ST",
            "address_2": "SUITE MH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098201",
            "telephone_number": "212-473-4151",
            "fax_number": "646-414-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E 20TH ST",
            "address_2": "SUITE MH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098201",
            "telephone_number": "212-473-4151",
            "fax_number": "646-414-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARZ",
        "first_name": "SUMNER",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.