Provider Demographics
NPI:1659380038
Name:SCHWARTZ, ROBYN B
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:B
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:394 BURLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-5702
Mailing Address - Country:US
Mailing Address - Phone:201-967-1346
Mailing Address - Fax:201-967-1346
Practice Address - Street 1:394 BURLINGTON RD
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-5702
Practice Address - Country:US
Practice Address - Phone:201-967-1346
Practice Address - Fax:201-967-1346
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4SC048697001041C0700X
NYR029027-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR28078Medicare UPIN