Daniel J Herera, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA07569100 Issued in NJ

Practice address

106 Grand Ave
Suite 220
Englewood, NJ 07631-3574

Phone

(201) 503-1900

Fax

(201) 503-1901

NPI assigned

Aug 11, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: dherera236761@direct.englewoodhealth.org

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.

• Englewood Medical Associates, Inc

  • Family Medicine Physician
  • Englewood, NJ
  • NPI 1447389499
  NPD (past)
• Spine Center and Orthopedic Rehabilitation

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Englewood, NJ
  • NPI 1760928030
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1164424958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CHURCH ST.",
            "city": "ALPINE",
            "state": "NJ",
            "postal_code": "07620",
            "telephone_number": "201-784-6012",
            "fax_number": "201-784-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 GRAND AVE",
            "address_2": "SUITE 220",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313574",
            "telephone_number": "201-503-1900",
            "fax_number": "201-503-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERERA",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA07569100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD#",
            "identifier": "P3005063",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/USHC#",
            "identifier": "3349241",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE HC (NV) #",
            "identifier": "0465J3",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET#",
            "identifier": "2K7331",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE HC (TE) #",
            "identifier": "0465J2",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH #",
            "identifier": "2836424000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE HC (HP) #",
            "identifier": "0465J1",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA#",
            "identifier": "7757464",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MDCR #",
            "identifier": "P00040428",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Marie Hemming, LAC
• Douglas Henick, DMD
• Henry Fernandez-Cos, MD, PA
• Herbert B. Holtzman, DDS, PA
• Herbert Marton MD PA
• Marc Herman, MD
• Ximena Hernandez, D.D.S
• Niva Herzig, MS, PT
• James Christian Hiana, MD
• Mary Katherine Himmelberg, OTRL

• Physical Medicine & Rehabilitation Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.