Provider Demographics
NPI:1841504107
Name:SWARTZ, JARED IAN (LPN)
Entity type:Individual
Prefix:MR
First Name:JARED
Middle Name:IAN
Last Name:SWARTZ
Suffix:
Gender:
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 GOULD WAY
Mailing Address - Street 2:
Mailing Address - City:YAPHANK
Mailing Address - State:NY
Mailing Address - Zip Code:11980-2052
Mailing Address - Country:US
Mailing Address - Phone:631-680-4093
Mailing Address - Fax:
Practice Address - Street 1:724 GOULD WAY
Practice Address - Street 2:
Practice Address - City:YAPHANK
Practice Address - State:NY
Practice Address - Zip Code:11980-2052
Practice Address - Country:US
Practice Address - Phone:631-680-4093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-28
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY299389-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse