Provider Demographics
NPI:1790371730
Name:SCHWARTZ, HELAYNE
Entity Type:Individual
Prefix:
First Name:HELAYNE
Middle Name:
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 1:203 MORNING GLORY DR
Mailing Address - Street 2:
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-5339
Mailing Address - Country:US
Mailing Address - Phone:732-718-4228
Mailing Address - Fax:609-448-1489
Practice Address - Street 1:400 LUIS MUNOZ MARIN BLVD
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-2546
Practice Address - Country:US
Practice Address - Phone:201-418-0327
Practice Address - Fax:201-418-7370
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-14
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02100900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist