Healthcare Provider Details

I. General information

NPI: 1942410063
Provider Name (Legal Business Name): ROBERT SCHWARTZ M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 11/15/2021
Certification Date: 11/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1283 YORK AVENUE
NEW YORK NY
10021
US

IV. Provider business mailing address

50 W BOULEVARD RD
NEWTON MA
02459-1219
US

V. Phone/Fax

Practice location:
  • Phone: 646-962-6197
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number239572
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number272333
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number239572
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number272333
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License Number272333
License Number StateNY
# 6
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number239572
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: