Organization Active NPI

Harvey Steven Schwartzberg MD PC

  • Internal Medicine Physician
  • Port Jeff Sta, NY
National Provider Identifier
1932471026
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
168664 Issued in NY
Legal business name
HARVEY STEVEN SCHWARTZBERG MD PC
Practice address
18 Roosevelt Ave
Port Jeff Sta, NY 11776-3337
Phone
(631) 928-3327
Fax
(631) 828-5505
NPI assigned
Feb 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Dr. Harvey Steven Schwartzberg, M.DNPI 1497802888
Title
Owner
Phone
(631) 928-3327

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 168664 NY Primary

Addresses

Primary practice location

18 Roosevelt Ave
Port Jeff Sta, NY 11776-3337

Mailing address

18 Roosevelt Ave
Port Jeff Sta, NY 11776-3337
Phone (631) 928-3327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120214000778 NY Part B Supplier - Clinic/Group Practice 3476711888 Receives reassigned benefits from 1 practitioner
Practice locations: Port Jefferson Station, NY

National Provider Directory

National Provider Directory

Locations

18 Roosevelt Ave
Ste A
Port Jefferson Station, NY 11776
Phone (631) 928-3327

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1932471026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ROOSEVELT AVE",
            "city": "PORT JEFF STA",
            "state": "NY",
            "postal_code": "117763337",
            "telephone_number": "631-928-3327",
            "fax_number": "631-828-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ROOSEVELT AVE",
            "city": "PORT JEFF STA",
            "state": "NY",
            "postal_code": "117763337",
            "telephone_number": "631-928-3327",
            "fax_number": "631-828-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY STEVEN SCHWARTZBERG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZBERG",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-928-3327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "168664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jeff Sta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.