Individual provider Active NPI

Valerie Alice Herskowitz, R.D., C.D.N., M.S.

  • Nutritionist
  • Commack, NY
National Provider Identifier
1164592739
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
000466-1 Issued in NY
Practice address
159 Indian Head Rd
Commack, NY 11725-2205
Phone
(631) 543-4500
Fax
(631) 543-5162
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 000466-1 NY Primary

Addresses

Primary practice location

159 Indian Head Rd
Commack, NY 11725-2205

Mailing address

17 Entrance Rd
Roslyn Heights, NY 11577-1505
Phone (516) 484-7551

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
Master of Science

State licenses

LicenseStateTypeSpecialty
000466-1NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy Association of Greater Suffolk, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164592739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ENTRANCE RD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771505",
            "telephone_number": "516-484-7551",
            "fax_number": "516-484-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 INDIAN HEAD RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252205",
            "telephone_number": "631-543-4500",
            "fax_number": "631-543-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSKOWITZ",
        "first_name": "VALERIE",
        "middle_name": "ALICE",
        "name_prefix": "Mr.",
        "credential": "R.D., C.D.N., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "000466-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.