Provider Demographics
NPI:1104938588
Name:SCHWARTING, ROLAND (MD)
Entity type:Individual
Prefix:
First Name:ROLAND
Middle Name:
Last Name:SCHWARTING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST # 200
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1088
Mailing Address - Country:US
Mailing Address - Phone:856-356-4924
Mailing Address - Fax:
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-2506
Practice Address - Fax:856-968-8312
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA08127400207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
517867OtherCIGNA
01007799100OtherAMERICHOICE
P00379576OtherRR MEDICARE
1555302OtherUNITED HEALTHCARE
2775286000OtherAMERIHEALTH, KEYSTONE, IBC
NJ6570909Medicaid
1907626OtherPENNSYLVANIA BLUE SHIELD
43849OtherUNIVERSITY HEALTHPLAN
P884687OtherOXFORD
60026754OtherHORIZON NJ HEALTH
XK5419OtherHEALTHNET
P00379576OtherRR MEDICARE
F19154Medicare UPIN