Organization Active NPI

Marc B. Hertz, DDS, PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1003089715
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
046617 Issued in NY
Legal business name
MARC B. HERTZ, DDS, PC
Practice address
2026 Ocean Ave
Suite 1K
Brooklyn, NY 11230-7352
Phone
(718) 998-9999
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Dr. Marc Benjamin Hertz, D.D.S.NPI 1952383663
Title
President
Phone
(718) 998-9999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 046617 NY Primary

Addresses

Primary practice location

2026 Ocean Ave
Suite 1K
Brooklyn, NY 11230-7352

Mailing address

83 Washington Ave S
Lawrence, NY 11559-2402
Phone (516) 295-2920

National Provider Directory

National Provider Directory

Locations

2026 Ocean Ave
Ste 1K
Brooklyn, NY 11230
Phone (718) 336-6333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1003089715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 WASHINGTON AVE S",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115592402",
            "telephone_number": "516-295-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 OCEAN AVE",
            "address_2": "SUITE 1K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307352",
            "telephone_number": "718-998-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC B. HERTZ, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "HERTZ",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-998-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "046617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.