Active NPI
Diego J. Herbstein, M.D.
- Neurology Physician
- New York, NY
National Provider Identifier
1104876218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 119684
- Practice address
- 162 E 78TH St
New York, NY 10075-0406 - Phone
- (212) 794-2281
- Fax
- (212) 517-9551
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 119684 | NY | Primary |
Addresses
Primary practice location
162 E 78TH St
New York, NY 10075-0406
Mailing address
162 E 78TH St
New York, NY 10075-0406
Phone (212) 794-2281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119685 | NY | MD | Social Worker |
| 119684 | NY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ny Neurological Associates, PC | Neurology | Past | Accepting new patients |
| Booth Medical Associates PC | Neurology | Past | Accepting new patients |
| Newyork-Presbyterian/Queens | Neurology | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/17724/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- New York, NY
- NPI 1942239520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381795200000",
"number": "1104876218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 E 78TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750406",
"telephone_number": "212-794-2281",
"fax_number": "212-517-9551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 E 78TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750406",
"telephone_number": "212-794-2281",
"fax_number": "212-517-9551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBSTEIN",
"first_name": "DIEGO",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2013-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "119684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.