Primomo and Herzog DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PRIMOMO AND HERZOG DDS

Practice address

651 Delaware Ave
Albany, NY 12209

Phone

(578) 427-2447

Fax

(578) 427-7346

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Herzog Jr., DDSNPI 1063595049

Title

Dentist

Phone

(578) 427-2447

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Herzog Jr., DDS

  • Dentist
  • Albany, NY
  • NPI 1063595049
  NPD (past) Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194807487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 DELAWARE AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12209",
            "telephone_number": "578-427-2447",
            "fax_number": "578-427-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 DELAWARE AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12209",
            "telephone_number": "578-427-2447",
            "fax_number": "578-427-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMOMO AND HERZOG DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "578-427-2447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Care Physicians, P.L.L.C.
• Prime Care Physicians, P.L.L.C.
• Prime Care Physicians, P.L.L.C.
• Prime Care Physicians, PLLC
• Prime Medical Rehabilitation, PC
• William G Primomo, DDS
• Constance B Prince, NP
• Essence Pringle, MSW
• Elise Prinzo, DPT
• Melissa Pritchard, L.P.N.

• General Practice Dentistry in Albany, NY
• Providers in Albany, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.