Active NPI
Long Island Integrative Medicine P.C.
- Sports Medicine (Family Medicine) Physician
- Farmingdale, NY
National Provider Identifier
1871967570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 197645-1
- Legal business name
- LONG ISLAND INTEGRATIVE MEDICINE P.C.
- Practice address
- 101 Fulton Street
Farmingdale, NY 11735 - Phone
- (516) 428-2339
- Fax
- (516) 516-5865
- NPI assigned
- Nov 18, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark L Schwartz, D.O.
- Title
- President
- Phone
- (516) 428-2339
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 197645-1 | NY | Primary |
Addresses
Primary practice location
101 Fulton Street
Farmingdale, NY 11735
Mailing address
101 Fulton Street
Farmingdale, NY 11735
Phone (516) 428-2339
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447891200000",
"number": "1871967570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 FULTON STREET",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "11735",
"telephone_number": "516-428-2339",
"fax_number": "516-516-5865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 FULTON STREET",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "11735",
"telephone_number": "516-428-2339",
"fax_number": "516-516-5865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONG ISLAND INTEGRATIVE MEDICINE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-18",
"last_updated": "2015-11-19",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-428-2339",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": "NY",
"license": "197645-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.