{
"Npi": {
"NPI": "1902024805",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SCHWARTZ-JACOBS",
"FirstName": "SHIRAH",
"MiddleName": "ROBYN",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SCHWARTZ",
"OtherFirstName": "SHIRAH",
"OtherMiddleName": "ROBYN",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "MD",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "166 LATCHES LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BALA CYNWYD",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19004-3015",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "917-623-7332",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "40 W 72ND ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEW YORK",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10023-4119",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "212-980-9800",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/23/2007",
"LastUpdateDate": "08/18/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207W00000X",
"TaxonomyName": "Ophthalmology Physician",
"LicenseNumber": "MD428486",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}