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Deactivated NPI 1710194345 Deactivated / Inactive NPI Male Practitioner

Dr. Jack Schweitzer , MD

Specialist • Valley Stream, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Schweitzer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 16, 2007
NPI Deactivation Date June 18, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Schweitzer, MD was a registered Specialist practicing in Valley Stream, NY. Throughout an active medical career spanning 11 years, Dr. Schweitzer provided care at the practice location at 241 ROCKAWAY AVE until profile deactivation on 2018-06-18.

Practice Location & Contact Primary Location

Practice Address

241 Rockaway Ave

Valley Stream, NY 115805827

Telephone 6317444698
Associated Practice Facility / Clinic
🏢 Rebecca Kooper Audiology, Pc Facility NPI 1568638161

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Valley Stream, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.5 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
93 Specialists

Practicing in Valley Stream, NY (23296 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 097591

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1386861086

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 18, 2018

Record deactivated on June 18, 2018

NPI Profile Active November 17, 2008

NPI status registered as active in NPPES database

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Updated Practice Location November 17, 2008

Registered at 241 ROCKAWAY AVE, VALLEY STREAM, NY 115805827 (Tel: 6317444698)

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Updated Business Mailing Address November 17, 2008

Registered at 241 ROCKAWAY AVE, VALLEY STREAM, NY 115805827 (Tel: 6317444698)

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Provider Name / Credentials Updated November 17, 2008

Recorded as JACK SCHWEITZER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2008

Specialist (License #097591 in NY)

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Initial NPI Registration & Enumeration May 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710194345
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2007
Last Update: November 17, 2008
Deactivation Date: June 18, 2018

Mailing Address

241 Rockaway Ave

Valley Stream, NY 115805827

Phone: 6317444698

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.