Active NPI
Herbert C Henken, MD
- Ophthalmology Physician
- Long Beach, NY
National Provider Identifier
1104827591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 147107
- Practice address
- 511 E Park Ave
Long Beach, NY 11561-3741 - Phone
- (516) 889-1518
- Fax
- (516) 889-1519
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 147107 | NY | Primary |
Addresses
Primary practice location
511 E Park Ave
Long Beach, NY 11561-3741
Mailing address
511 E Park Ave
Long Beach, NY 11561-3741
Phone (516) 889-1518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00812919 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110623000498 | NY | Practitioner - Ophthalmology | 9436337326 | Practice locations: Freeport, NY; Long Beach, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
511 E Park Ave
Long Beach, NY 11561-3741
Phone (516) 889-1518
72 Guy Lombardo Ave
Freeport, NY 11520-3742
Phone (516) 377-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104827591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 E PARK AVE",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115613741",
"telephone_number": "516-889-1518",
"fax_number": "516-889-1519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 E PARK AVE",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115613741",
"telephone_number": "516-889-1518",
"fax_number": "516-889-1519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENKEN",
"first_name": "HERBERT",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "147107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00812919",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.