Physician Compare National (NPI:1366443780)

HEALTHCARE PROVIDER: GARY D SCHWARTZ MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1366443780
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709970171
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070915000132
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SCHWARTZ
	Individual professional last name
Provider First Name	GARY
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	20 PROSPECT AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 516
	Group Practice or individual's line 2 address
City	HACKENSACK
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	076011989
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310001
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HACKENSACK UNIVERSITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y