Provider Demographics
NPI:1972591543
Name:SCHWARTZ, HOWARD P (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:P
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 SOUTH SERVICE ROAD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-2358
Mailing Address - Country:US
Mailing Address - Phone:516-945-3000
Mailing Address - Fax:516-945-3131
Practice Address - Street 1:1505 W SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-6912
Practice Address - Country:US
Practice Address - Phone:856-641-8000
Practice Address - Fax:856-641-7668
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD053908L207L00000X
NJ25MA06176900207L00000X
DEC1-0004879207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00747627OtherRAILROAD MEDICARE
NJP00766792OtherRAILROAD MEDICARE
PA001526484Medicaid
NJ7082401Medicaid
PAP00747627OtherRAILROAD MEDICARE
NJP00766792OtherRAILROAD MEDICARE
NJ7082401Medicaid