Individual provider Active NPI

Michael Hearns, MD

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1144521436
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
185419-1 Issued in NY
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
185419-9OtherNYWCB 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

LicenseStateTypeSpecialty
185419-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zephyr Medical PLLC PastSince Dec 18, 2022 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.

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.

Verify at the official NPI Registry.