Individual provider Active NPI

Craig Preston Herman, DPM

  • Podiatrist
  • Bronx, NY
National Provider Identifier
1124098686
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005627 Issued in NY
Practice address
975 Westchester Ave
Bronx, NY 10459-3204
Phone
(718) 320-4466
Fax
(718) 991-3829
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005627 NY Primary

Addresses

Primary practice location

975 Westchester Ave
Bronx, NY 10459-3204

Mailing address

60 Madison Ave
5TH Floor
New York, NY 10010-1600
Phone (212) 545-2439

Other identifiers 2

IdentifierTypeStateIssuer
00695941MedicaidNY
02010240MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051024000231 NY Practitioner - Podiatry 5092731513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Healthcare Network IncGroup PAC ID 7416855143, 83 clinicians

Practice addresses (Care Compare)

9704 Sutphin Blvd
Jamaica, NY 11435-4721
Phone (718) 657-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005627NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthcare Network, Inc CurrentSince Jan 1, 2024 Accepting new patients
Pelham Podiatry Group PC Podiatrist Past Accepting new patients
Community Healthcare Network Inc Past Accepting new patients

Locations

8944 164th St
Jamaica, NY 11432
Phone (718) 523-2123

81 W 115th St
New York, NY 10026
Phone (212) 426-0088

44 W 28th St
Fl 5
New York, NY 10001
Phone (212) 545-2439

255 E Houston St
New York, NY 10002
Phone (212) 477-1120

60 Madison Ave
Fl 5
New York, NY 10010
Phone (212) 545-2400

511 W 157th St
New York, NY 10032
Phone (212) 781-7979

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: craig.herman@chn.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1124098686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MADISON AVE",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101600",
            "telephone_number": "212-545-2439",
            "fax_number": "646-312-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593204",
            "telephone_number": "718-320-4466",
            "fax_number": "718-991-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "CRAIG",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02010240",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.