Marvin Rondell Herbin, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

316430-01 Issued in NY

Practice address

425 Robinson St
Binghamton, NY 13904-1735

Phone

(845) 537-6977

NPI assigned

May 10, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1194415372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ROBINSON ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139041735",
            "telephone_number": "845-537-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ROBINSON ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139041735",
            "telephone_number": "845-537-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBIN",
        "first_name": "MARVIN",
        "middle_name": "RONDELL",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "316430-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "RSA",
            "affiliation": "Y",
            "endpointDescription": "RSA Securids",
            "affiliationName": "Binghamton Psychiatric Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "425 Robinson St",
            "city": "Binghamton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "139014101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria Heitzenroder, PT
• Matthew Hektor, RPAC
• Jordan Elizabeth Henderson
• Amanda J Henry, RD
• Deborah Lynn Hensel, OTR/L
• Michael Herceg, DO
• Lori Beth Herlihy, MS, CCC/SLP
• Zarina M Hernandez-Schipplick, MD
• Sarah B Herrick
• Jaime Lynn Hersh, MS, CCC-SLP

• Licensed Practical Nurse in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.