Individual provider Active NPI

Cheryle R Hart, MD

  • Adult Medicine Physician
  • Holiday, FL
National Provider Identifier
1003076928
Registry record updated Aug 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
MD472638 Issued in PA
Practice address
3351 Glenwood Cir
Holiday, FL 34691-2528
Phone
(716) 435-4911
Fax
(610) 438-0336
NPI assigned
Jun 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AH1160439 NY
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 259765 NY
Adult Medicine Physician 207QA0505X MD472638 PA Primary

Addresses

Primary practice location

3351 Glenwood Cir
Holiday, FL 34691-2528

Mailing address

3351 Glenwood Cir
Holiday, FL 34691-2528
Phone (716) 354-4911

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL Easton Health Information Exchange (HIE)
Direct Messaging Address documents@secure.leafwell.com Direct
Other URL documents@secure.leafwell.com Health Information Exchange (HIE) Leafwell Providers, P.A.
Direct Messaging Address documents@secure.leafwell.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD472638PAMDAdult Medicine Physician
259765NYMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Interoperability endpoints

  • Direct secure messaging: chart@res.medentdirect.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754697600000",
    "number": "1003076928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 GLENWOOD CIR",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346912528",
            "telephone_number": "716-354-4911",
            "fax_number": "813-433-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 GLENWOOD CIR",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346912528",
            "telephone_number": "716-435-4911",
            "fax_number": "610-438-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "CHERYLE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "AH1160439",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "259765",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "MD472638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Easton",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2651 Farmhouse Ct S",
            "city": "Easton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180455589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "documents@secure.leafwell.com",
            "affiliation": "N",
            "endpointDescription": "secure url",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "documents@secure.leafwell.com",
            "address_1": "3351 Glenwood Cir",
            "city": "Holiday",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346912528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "documents@secure.leafwell.com",
            "affiliation": "Y",
            "endpointDescription": "secure url",
            "affiliationName": "Leafwell Providers, P.A.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "medical records;",
            "address_1": "3351 Glenwood Cir",
            "city": "Holiday",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346912528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "documents@secure.leafwell.com",
            "affiliation": "N",
            "endpointDescription": "secure url",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3351 Glenwood Cir",
            "city": "Holiday",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346912528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holiday, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.