Active NPI
Heart Health of the South Shore PC
- Cardiovascular Disease Physician
- Woodmere, NY
National Provider Identifier
1104262088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 236218
- Legal business name
- HEART HEALTH OF THE SOUTH SHORE PC
- Practice address
- 949 Central Ave
Suite 207
Woodmere, NY 11598-1204 - Phone
- (516) 218-2510
- Fax
- (516) 341-7077
- NPI assigned
- May 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David J Hersh, M.D.
- Title
- President
- Phone
- (516) 218-2510
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 236218 | NY | Primary |
Addresses
Primary practice location
949 Central Ave
Suite 207
Woodmere, NY 11598-1204
Mailing address
949 Central Ave
Suite 207
Woodmere, NY 11598-1204
Phone (516) 218-2510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
949 Central Ave
Ste 207
Woodmere, NY 11598
Phone (516) 218-2510
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Woodmere, NY
- NPI 1588854921
-
- Allergy & Immunology Physician
- Bronx, NY
- NPI 1033313366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368748800000",
"number": "1104262088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "949 CENTRAL AVE",
"address_2": "SUITE 207",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981204",
"telephone_number": "516-218-2510",
"fax_number": "516-341-7077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "949 CENTRAL AVE",
"address_2": "SUITE 207",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981204",
"telephone_number": "516-218-2510",
"fax_number": "516-341-7077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART HEALTH OF THE SOUTH SHORE PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-17",
"last_updated": "2013-05-17",
"status": "A",
"authorized_official_last_name": "HERSH",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-218-2510",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "236218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodmere, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.