Individual provider Active NPI

Steven M. Herzberg, M.D.

  • Dermatology Physician
  • Scotch Plains, NJ
National Provider Identifier
1093714487
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA02980700 Issued in NJ
Practice address
1987 Dogwood Drive
Scotch Plains, NJ 07076-4722
Phone
(908) 789-2478
Fax
(908) 789-1510
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA02980700 NJ Primary

Addresses

Primary practice location

1987 Dogwood Drive
Scotch Plains, NJ 07076-4722

Mailing address

1987 Dogwood Drive
Scotch Plains, NJ 07076-4722
Phone (908) 789-2478

Other identifiers 2

IdentifierTypeStateIssuer
F01264OtherHEALTHNET
0018242OtherGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20170623000396 NJ Order and Referring Only - DermatologyPractitioner - Dermatology 7719932581

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1093714487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1987 DOGWOOD DRIVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070764722",
            "telephone_number": "908-789-2478",
            "fax_number": "908-789-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1987 DOGWOOD DRIVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070764722",
            "telephone_number": "908-789-2478",
            "fax_number": "908-789-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZBERG",
        "first_name": "STEVEN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA02980700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "F01264",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0018242",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotch Plains, NJ

Sources for this page

Verify at the official NPI Registry.