Provider Demographics
NPI:1366443780
Name:SCHWARTZ, GARY D (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:D
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:20 PROSPECT AVE
Mailing Address - Street 2:STE 516
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1989
Mailing Address - Country:US
Mailing Address - Phone:973-223-0418
Mailing Address - Fax:973-547-9177
Practice Address - Street 1:20 PROSPECT AVE
Practice Address - Street 2:SUITE 516
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1997
Practice Address - Country:US
Practice Address - Phone:201-488-8989
Practice Address - Fax:201-996-5765
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2022-04-06
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05961700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ044387W1RMedicare PIN