Provider Demographics
NPI:1932201613
Name:SCHWARTZ, JAY H (MD FACS)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:H
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 SHORE RD
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-2527
Mailing Address - Country:US
Mailing Address - Phone:609-365-9155
Mailing Address - Fax:888-410-0855
Practice Address - Street 1:1750 ZION RD STE 106
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1844
Practice Address - Country:US
Practice Address - Phone:609-365-9155
Practice Address - Fax:888-410-0855
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD071013L2083A0300X, 2085R0204X
FLME1138442083A0300X
NJ668672085R0204X
FLME1138842085R0204X
NY2486332085R0204X, 208600000X
FLME 113844208600000X
NJ25MA06686700208600000X, 2083A0300X
MS18289208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1932201613OtherHORIZON BCBS
MS020000536Medicare ID - Type Unspecified
NJ225485ZCOQOtherMEDICARE
MSH25266Medicare UPIN
MS07321201Medicaid
NJ0270164Medicaid
PA102674662-0002Medicaid
NJ7499657OtherAETNA
LA1720216Medicaid