Provider Demographics
NPI:1689754269
Name:SCHWARTZ, DANA N (PT)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:N
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 MORRIS AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-6574
Mailing Address - Country:US
Mailing Address - Phone:732-222-7900
Mailing Address - Fax:732-582-4268
Practice Address - Street 1:422 MORRIS AVE STE 5
Practice Address - Street 2:
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-6574
Practice Address - Country:US
Practice Address - Phone:732-222-7900
Practice Address - Fax:732-582-4268
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00708600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
76001OtherORTHONET
5861478OtherAETNA
053179Medicare ID - Type Unspecified