Individual provider Active NPI

Jared Adam Hertz, D.O.

  • Internal Medicine Physician
  • Babylon, NY
National Provider Identifier
1164782108
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
263785 Issued in NY
Practice address
350 W Main St
Babylon, NY 11702-3417
Phone
(631) 661-2277
NPI assigned
May 24, 2012
Last updated
Sep 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A11772 CA
Internal Medicine Physician 207R00000X 263785 NY Primary

Addresses

Primary practice location

350 W Main St
Babylon, NY 11702-3417

Mailing address

4 Mallard Dr
Lloyd Harbor, NY 11743-9712
Phone (646) 246-7377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121108000315 NY Practitioner - Internal Medicine 0244481893 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Babylon Medical Practice, P.C.Group PAC ID 4789598053, 6 clinicians

Practice addresses (Care Compare)

258 W Main St
Babylon, NY 11702-3443
Phone (631) 271-9151

350 W Main St
Babylon, NY 11702-3417
Phone (631) 661-2277

700 Old Country Rd
Suite 205
Plainview, NY 11803-4932
Phone (631) 271-9151

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A11772CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Medical Health Care PLLC Internal Medicine CurrentSince Jul 8, 2025 Accepting new patients
Babylon Medical Practice, P.C. Internal Medicine CurrentSince Oct 1, 2012 Accepting new patients
Jared Hertz DO PC Internal Medicine CurrentSince Dec 25, 2023 Accepting new patients
Good Samaritan Hospital Medical Center Past Accepting new patients

Locations

258 W Main St
Babylon, NY 11702
Phone (631) 517-9170

350 W Main St
Babylon, NY 11702
Phone (631) 661-2277

700 Old Country Rd
Ste 205
Plainview, NY 11803
Phone (516) 822-1433

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1164782108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MALLARD DR",
            "city": "LLOYD HARBOR",
            "state": "NY",
            "postal_code": "117439712",
            "telephone_number": "646-246-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023417",
            "telephone_number": "631-661-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZ",
        "first_name": "JARED",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A11772",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "263785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

Verify at the official NPI Registry.