Individual provider Active NPI

Deena J Schwartz, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Owego, NY
National Provider Identifier
1972603769
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401101 Issued in NY
Practice address
1062 State Route 38
Owego, NY 13827
Phone
(607) 687-4000
Fax
(607) 687-6396
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401101 NY Primary
Adult Health Nurse Practitioner 363LA2200X F300121 NY

Addresses

Primary practice location

1062 State Route 38
Owego, NY 13827

Mailing address

101 East State St #257
Ithaca, NY 14850-3209
Phone (607) 227-2246

Other identifiers 3

IdentifierTypeStateIssuer
F401101OtherNYPNP LICENSE NUMBER
F300121OtherNYNP LICENSE NUMBER
39062AOtherGROUP MEDICARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622000849 NY Practitioner - Nurse Practitioner 5597700443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seneca County Treasurer 16 clinicians

Practice addresses (Care Compare)

7204 Main St
Ovid, NY 14521-9586
Phone (607) 869-5575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F300121NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca County Treasurer CurrentSince May 8, 2015 Accepting new patients
Seneca County Addictions Program CurrentSince May 8, 2015 Accepting new patients
Tioga County CurrentSince Nov 1, 2001 Accepting new patients
Tioga County Health Department CurrentSince Nov 1, 2001 Accepting new patients
Tioga County Psychiatric/Mental Health Current Accepting new patients
Alcohol & Drug Council Past Accepting new patients
Alcohol & Drug Council of Tompkins County, Inc. Past Accepting new patients
Family & Children'S Service of Ithaca Inc PastSince Jan 1, 1992 Accepting new patients

Locations

1062 State Route 38
Owego, NY 13827
Phone (607) 687-0200

31 Thurber Dr
Waterloo, NY 13165
Phone (315) 539-1980

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972603769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EAST STATE ST #257",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503209",
            "telephone_number": "607-227-2246",
            "fax_number": "607-687-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 STATE ROUTE 38",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "13827",
            "telephone_number": "607-687-4000",
            "fax_number": "607-687-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "DEENA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401101",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F300121",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PNP LICENSE NUMBER",
            "identifier": "F401101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE NUMBER",
            "identifier": "F300121",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER",
            "identifier": "39062A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owego, NY

Sources for this page

Verify at the official NPI Registry.