Jennifer Schwartz
Physician Assistant in Lake Grove, NY. Individual provider (NPI-1).
NPI number1609304609
StatusActive
Last updated in NPPESMay 15, 2019
Details
- NPI
- 1609304609
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Schwartz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2017
- Last updated
- May 15, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA192568 | OR | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
5 Williams Blvd Apt 1mLake Grove, NY 11755-2444
Phone 402-218-7794 · Fax 402-218-7794
Mailing address
5 Williams Blvd Apt 1mLake Grove, NY 11755-2444
Phone 402-218-7794
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Physician Assistant providers in Lake Grove · All 319 providers in Lake Grove
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