Individual provider Active NPI

Julia Schwartz, MD

  • Dermatology Physician
  • Dorado, PR
National Provider Identifier
1962842518
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
21265 Issued in PR
Practice address
75 Fairways Village Dr Apt 4
Dorado, PR 00646
Phone
(206) 465-0590
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 21265 PR Primary

Addresses

Primary practice location

75 Fairways Village Dr Apt 4
Dorado, PR 00646

Mailing address

75 Fairways Village Dr Apt 4
Dorado, PR 00646-2266
Phone (206) 465-0590

Other practice location 1

2150 Pennsylvania Ave NW Ste 2B-430
Washington, DC 20037-3201
Phone (202) 741-2600

Other names 1

  • Julia Shlyankevich Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21265PRMDDermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1962842518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FAIRWAYS VILLAGE DR APT 4",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006462266",
            "telephone_number": "206-465-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FAIRWAYS VILLAGE DR APT 4",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "206-465-0590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Pennsylvania Ave NW Ste 2B-430",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200373201",
            "country_code": "US",
            "telephone_number": "202-741-2600",
            "fax_number": "202-741-2609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "JULIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "21265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "SHLYANKEVICH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dorado, PR

Sources for this page

Verify at the official NPI Registry.