Active NPI
Beth Herzog, MS OTR/L
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1033443437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 013542-1
- Practice address
- 651 Vanderbilt St
Apt 4B
Brooklyn, NY 11218-1265 - Phone
- (917) 596-5908
- NPI assigned
- Oct 1, 2009
- Last updated
- Oct 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 013542-1 | NY | Primary |
Addresses
Primary practice location
651 Vanderbilt St
Apt 4B
Brooklyn, NY 11218-1265
Mailing address
651 Vanderbilt St
Apt 4B
Brooklyn, NY 11218-1265
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013542-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254355200000",
"number": "1033443437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 VANDERBILT ST",
"address_2": "APT 4B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112181265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 VANDERBILT ST",
"address_2": "APT 4B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112181265",
"telephone_number": "917-596-5908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERZOG",
"first_name": "BETH",
"name_prefix": "Ms.",
"credential": "MS OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-01",
"last_updated": "2009-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "013542-1",
"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 Oct 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.