NPIMap

Organization Active NPI

Luis O Herrera

  • Primary Care Clinic/Center
  • Freeport, NY
National Provider Identifier
1104167295
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
196850 Issued in NY
Legal business name
LUIS O HERRERA
Practice address
43 Church St
Freeport, NY 11520-3830
Phone
(516) 223-2900
Fax
(516) 223-7320
NPI assigned
Mar 14, 2013
Last updated
Mar 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Dr. Luis O Herrera
Title
MD
Phone
(516) 223-2900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 196850 NY Primary
Primary Care Clinic/Center 261QP2300X 244911 NY
Primary Care Clinic/Center 261QP2300X 262675 NY

Addresses

Primary practice location

43 Church St
Freeport, NY 11520-3830

Mailing address

43 Church St
Freeport, NY 11520-3830
Phone (516) 223-2900

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0975497Luis O Herrera MD Faap43 Church Street, Freeport, NY 11520Certificate of waiverJul 9, 2026

National Provider Directory

National Provider Directory

Locations

43 Church St
Freeport, NY 11520
Phone (516) 223-2900

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1104167295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 CHURCH ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203830",
            "telephone_number": "516-223-2900",
            "fax_number": "516-223-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CHURCH ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203830",
            "telephone_number": "516-223-2900",
            "fax_number": "516-223-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS O HERRERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-223-2900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "196850",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "244911",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "262675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.