Juan Carlos Herrera, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA07919100 Issued in NJ

Practice address

1034 Salem Rd
Union, NJ 07083-7058

Phone

(908) 258-0045

Fax

(908) 258-0802

NPI assigned

Aug 23, 2006

Last updated

Apr 29, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

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  • NPI 1508107301
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1194832766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 SALEM RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837058",
            "telephone_number": "908-258-0045",
            "fax_number": "908-258-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 SALEM RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837058",
            "telephone_number": "908-258-0045",
            "fax_number": "908-258-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07919100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malcolm H Hermele, M.D.
• Lisa Ivette Hernandez
• Tatiana Herr
• Herrera Ortho LLC
• Bertha L Herrera, MA.,CCC-SLP
• Amanda Nicole Higgins, PT, DPT
• High Focus Psychiatric Service & Counseling Center LLC
• Hilliard Chiropractic Center, LLC
• Tashia S Hilliard, DC
• Laura Hills, LMP

• Family Medicine Physician in Union, NJ
• Providers in Union, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.