MEDICARE: ALIZA S. SCHWARTZ DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	060096-1	NY
2	1223P0221X	Pediatric Dentistry	22DI02731200	NJ
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1023538725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALIZA S. SCHWARTZ DMD

Provider Business Mailing Address
First Line	:	2170 LAKEWOOD RD STE 207
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-1669
Country	:	US
Telephone Number	:	732-908-8808
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 EXECUTIVE BLVD
Second Line	:
City	:	SUFFERN
State	:	NY
Zip	:	10901-4180
Country	:	US
Telephone Number	:	845-371-0093
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2017
Last Update Date	:	02/12/2026

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