Individual provider Active NPI

Alissa Loren Bennett Hersh, M.D.

  • Allergy & Immunology Physician
  • Bronx, NY
National Provider Identifier
1033313366
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MAO79153 Issued in NJ
Practice address
3850 Hudson Manor Ter
Apartment 3BW
Bronx, NY 10463-1117
Phone
(718) 543-7950
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MAO79153 NJ Primary

Addresses

Primary practice location

3850 Hudson Manor Ter
Apartment 3BW
Bronx, NY 10463-1117

Mailing address

3850 Hudson Manor Ter
Apartment 3BW
Bronx, NY 10463-1117
Phone (718) 543-7950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070907000480 NY Practitioner - Pediatric MedicinePractitioner - Allergy/Immunology 4385737493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Allergy/Immunology
Education
New York Medical College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

949 Central Ave
Woodmere, NY 11598-1204
Phone (516) 341-7076

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MAO79153NJMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma of the South Shore PC Allergy & Immunology CurrentSince Dec 22, 2011 Accepting new patients
Heart Health of the South Shore PC PastSince Jun 1, 2013 Accepting new patients

Locations

949 Central Ave
Ste 207
Woodmere, NY 11598
Phone (516) 218-2510

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033313366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 HUDSON MANOR TER",
            "address_2": "APARTMENT 3BW",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631117",
            "telephone_number": "718-543-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 HUDSON MANOR TER",
            "address_2": "APARTMENT 3BW",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631117",
            "telephone_number": "718-543-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSH",
        "first_name": "ALISSA",
        "middle_name": "LOREN BENNETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "MAO79153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.