Active NPI
Michael Hearns, MD
- Preventive Medicine/Occupational Environmental Medicine Physician
- Brooklyn, NY
National Provider Identifier
1144521436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 185419-1
- Practice address
- 111 Livingston Street
Suite 1901
Brooklyn, NY 11201 - Phone
- (718) 797-9111
- Fax
- (718) 797-9876
- NPI assigned
- Nov 3, 2010
- Last updated
- Apr 5, 2016
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 185419-1 | NY | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 185419-1 | NY | |
| Pediatrics Physician | 208000000X | 185419-1 | NY | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 185419-1 | NY | |
| Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | 2081H0002X | 185419-1 | NY | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 185419-1 | NY | Primary |
Addresses
Primary practice location
111 Livingston Street
Suite 1901
Brooklyn, NY 11201
Mailing address
PO Box 24808
Brooklyn, NY 11202
Phone (718) 797-9111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185419-9 | Other | NY | WCB AUTH # NYS WORKERS' COMP. BOARD |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185419-1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zephyr Medical PLLC | Past | Accepting new patients | |
| Central Medical Services of Westrock, PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Brooklyn, NY
- NPI 1417669102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459814400000",
"number": "1144521436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24808",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11202",
"telephone_number": "718-797-9111",
"fax_number": "718-797-9876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 LIVINGSTON STREET",
"address_2": "SUITE 1901",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-797-9111",
"fax_number": "718-797-9876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARNS",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-03",
"last_updated": "2016-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "185419-1",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "185419-1",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "185419-1",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "185419-1",
"primary": false
},
{
"code": "2081H0002X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
"state": "NY",
"license": "185419-1",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "NY",
"license": "185419-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WCB AUTH # NYS WORKERS' COMP. BOARD",
"identifier": "185419-9",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.