Dr. Mark Schwartz, P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

25MB06381000 Issued in NJ

Legal business name

DR. MARK SCHWARTZ, P.A.

Practice address

308 Chelsea Manor
Park Ridge, NJ 07656

Phone

(201) 819-8049

Fax

(201) 746-0950

NPI assigned

Aug 31, 2015

Last updated

Aug 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Lawrence Schwartz, D.O.

Title

Owner

Phone

(201) 819-8049

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1871960484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 CHELSEA MANOR",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "07656",
            "telephone_number": "201-819-8049",
            "fax_number": "201-746-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 CHELSEA MANOR",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "07656",
            "telephone_number": "201-819-8049",
            "fax_number": "201-746-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARK SCHWARTZ, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-819-8049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MB06381000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Park Ridge, NJ
• Providers in Park Ridge, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.