Provider Demographics
NPI:1235292699
Name:SCHWARTZ, DAVID BARRY (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BARRY
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 GRANT AVENUE
Mailing Address - Street 2:
Mailing Address - City:DUMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:07628-1630
Mailing Address - Country:US
Mailing Address - Phone:201-387-7463
Mailing Address - Fax:201-387-2360
Practice Address - Street 1:24 GRANT AVENUE
Practice Address - Street 2:
Practice Address - City:DUMONT
Practice Address - State:NJ
Practice Address - Zip Code:07628-1630
Practice Address - Country:US
Practice Address - Phone:201-387-7463
Practice Address - Fax:201-387-2360
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0048641111N00000X
NJMC00333700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
350018019OtherMEDICARE RAILROAD
SC611038Medicare ID - Type Unspecified