Active NPI
Charles A Herbstman, MD
- Diagnostic Radiology Physician
- Fair Lawn, NJ
National Provider Identifier
1184659344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MA03531100
- Practice address
- 0-100 28TH Street
Fair Lawn, NJ 07410 - Phone
- (201) 475-1300
- Fax
- (201) 475-1709
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MA03531100 | NJ | Primary |
Addresses
Primary practice location
0-100 28TH Street
Fair Lawn, NJ 07410
Mailing address
0-100 28TH Street
Fair Lawn, NJ 07410
Phone (201) 475-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138647TWJ | Other | NJ | MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA03531100 | NJ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greene Medical Imaging PC | Diagnostic Radiology | Past | Accepting new patients |
| Tri-County Radiology P.a. | Diagnostic Radiology | Past | Accepting new patients |
| South Mountain Imaging | Diagnostic Radiology | Past | Accepting new patients |
| Peace Health Partners, PC | Diagnostic Radiology | Past | Accepting new patients |
| Richard J Claps M.D. & Associates P.a. | Diagnostic Radiology | Past | Accepting new patients |
| Sancor Medical Enterprises, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Tri-County Radiology P.a. | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Diagnostic Radiology Physician
- Teaneck, NJ
- NPI 1265463954
-
- Radiology Clinic/Center
- Morristown, NJ
- NPI 1699857664
Diagnostic Radiology
-
- Vascular & Interventional Radiology Physician
- Passaic, NJ
- NPI 1164499364
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Secaucus, NJ
- NPI 1225075054
-
- Cardiovascular Disease Physician
- Clifton, NJ
- NPI 1730208885
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Catskill, NY
- NPI 1629053566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184659344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "0-100 28TH STREET",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "07410",
"telephone_number": "201-475-1300",
"fax_number": "201-475-1709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "0-100 28TH STREET",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "07410",
"telephone_number": "201-475-1300",
"fax_number": "201-475-1709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBSTMAN",
"first_name": "CHARLES",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "MA03531100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "138647TWJ",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
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.