Individual provider Active NPI

Herbert C Henken, MD

  • Ophthalmology Physician
  • Long Beach, NY
National Provider Identifier
1104827591
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
147107 Issued in NY
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00812919MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
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

Verify at the official NPI Registry.