Active NPI
Valerie Alice Herskowitz, R.D., C.D.N., M.S.
- Nutritionist
- Commack, NY
National Provider Identifier
1164592739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 000466-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 000466-1 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Voluntary or Charitable Agency
- Commack, NY
- NPI 1932296001
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.