Healthcare Provider Details

I. General information

NPI: 1528833522
Provider Name (Legal Business Name): JONATHAN H SCHWARTZ MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2023
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 SPRING ST
NEW BEDFORD MA
02740-5951
US

IV. Provider business mailing address

106 SPRING ST
NEW BEDFORD MA
02740-5951
US

V. Phone/Fax

Practice location:
  • Phone: 508-993-1377
  • Fax:
Mailing address:
  • Phone: 508-997-6091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN HILLSON SCHWARTZ
Title or Position: SOLE OWNER
Credential: MD
Phone: 508-997-6091