Michelle Herczeg

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

311870878 Issued in NY

Practice address

1400 State Route 96
Apt C28
Waterloo, NY 13165-9564

Phone

(610) 844-7395

NPI assigned

Oct 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Severna Park Family Chiropractic, PC

  • Chiropractor
  • Severna Park, MD
  • NPI 1316431653
  Medicare reassignment NPD Authorized official
• Baldini & Isabella Chiropractic PC

  • Chiropractor
  • Liverpool, NY
  • NPI 1235290040
  NPD (past)

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1114253994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 STATE ROUTE 96",
            "address_2": "APT C28",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131659564",
            "telephone_number": "610-844-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 STATE ROUTE 96",
            "address_2": "APT C28",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131659564",
            "telephone_number": "610-844-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERCZEG",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "311870878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Lynn Hamula
• Denise M Harris, LPN
• Stephen Frederick Hartman, D.M.D.
• Debbie L. Heit, M.D.
• Jennifer Joy Henderson, RN
• Justine Higley, LMSW
• Diana Marlene Hinman, R.N.
• Megan Hoffman, LCSW
• Stephanie Humbert
• Huntington Nursing Home Inc

• Student in an Organized Health Care Education/Training Program in Waterloo, NY
• Providers in Waterloo, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.