Organization Active NPI

Dr. Jack Schwartz

  • Durable Medical Equipment & Medical Supplies
  • Toms River, NJ
National Provider Identifier
1952588048
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
270A00350500 Issued in NJ
Legal business name
DR. JACK SCHWARTZ
Practice address
1341 Highway 9
Suite 10
Toms River, NJ 08755-4087
Phone
(732) 240-9111
Fax
(732) 286-1405
NPI assigned
Jan 30, 2008
Last updated
Jan 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Dr. Jack Robert Schwartz, O.D.NPI 1043222953
Title
Owner
Phone
(732) 240-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 270A00350500 NJ Primary

Addresses

Primary practice location

1341 Highway 9
Suite 10
Toms River, NJ 08755-4087

Mailing address

1341 Highway 9
Suite 10
Toms River, NJ 08755-4087
Phone (732) 240-9111

Other identifiers 1

IdentifierTypeStateIssuer
1605305MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1341 US Highway 9
Ste 10
Toms River, NJ 08755
Phone (732) 240-9111

Practitioners & affiliated clinicians

Practitioners 1

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": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1952588048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 HIGHWAY 9",
            "address_2": "SUITE 10",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087554087",
            "telephone_number": "732-240-9111",
            "fax_number": "732-286-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 HIGHWAY 9",
            "address_2": "SUITE 10",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087554087",
            "telephone_number": "732-240-9111",
            "fax_number": "732-286-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JACK SCHWARTZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-240-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "270A00350500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1605305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.