Provider Demographics
NPI:1184746125
Name:SCHWARTZ, DOROTHY (RN, CS, APN)
Entity type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:RN, CS, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CANTERBURY CT
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-6204
Mailing Address - Country:US
Mailing Address - Phone:732-235-1444
Mailing Address - Fax:732-235-1444
Practice Address - Street 1:7 CANTERBURY CT
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-6204
Practice Address - Country:US
Practice Address - Phone:732-235-1444
Practice Address - Fax:732-235-1444
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC04709700163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ037284Medicare PIN