Provider Demographics
NPI:1447431713
Name:SCHWARTZ, JENNIFER DIANE (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:DIANE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:DIANE
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:163 HIGHLAND AVE
Mailing Address - Street 2:#1247
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494
Mailing Address - Country:US
Mailing Address - Phone:617-209-9103
Mailing Address - Fax:917-590-1891
Practice Address - Street 1:163 HIGHLAND AVE
Practice Address - Street 2:#1247
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494
Practice Address - Country:US
Practice Address - Phone:617-209-9103
Practice Address - Fax:917-590-1891
Is Sole Proprietor?:No
Enumeration Date:2007-11-15
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH18593207RC0000X
MA273417207RC0000X, 2083B0002X, 207RB0002X
CAA102320207RC0000X
NC2010-00934207RC0001X
NJ25MA07595500207RC0001X
NY210352207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
Yes207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABR339ZMedicare PIN