Individual provider Active NPI

Kenneth J Herwig, MD

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1205932415
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
114071 Issued in NY
Practice address
506 Malcolm X Blvd
WP-522
New York, NY 10037-1802
Phone
(212) 939-2740
Fax
(212) 939-2759
NPI assigned
Sep 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 114071 NY Primary

Addresses

Primary practice location

506 Malcolm X Blvd
WP-522
New York, NY 10037-1802

Mailing address

506 Malcolm X Blvd
WP-522
New York, NY 10037-1802
Phone (212) 939-2740

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
I20050103000878 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6406814771 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Pennsylvania State University College of Medicine, 1971
Medicare assignment
May accept Medicare assignment
Group practices
Urban Health Plan IncGroup PAC ID 3173517281, 158 clinicians
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

1065 Southern Blvd
Bronx, NY 10459-2417
Phone (718) 589-2440

111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
114071NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Cardiovascular Disease CurrentSince Oct 15, 2015 Accepting new patients
Montefiore Medical Center CurrentSince Oct 15, 2015 Accepting new patients
Urban Health Plan, Inc. Current Accepting new patients
Urban Health Plan, Inc. CurrentSince Dec 6, 2007 Accepting new patients
Vail Healthcare Medical PLLC CurrentSince Nov 11, 2017 Accepting new patients
Urban Health Plan, Inc. CurrentSince Dec 6, 2007 Accepting new patients
Health Care for All, NP in Adult Health, P.C. PastSince Mar 22, 2011 Accepting new patients

Locations

1065 Southern Blvd
Bronx, NY 10459
Phone 71858924404222

111 E 210th St
Bronx, NY 10467

1515 Southern Blvd
Bronx, NY 10460
Phone (718) 589-1600

1515 Southern Blvd
#H
Bronx, NY 10460
Phone (718) 589-1600

1967 Turnbull Ave
Bronx, NY 10473
Phone (718) 684-1320

271 E 138th St
Bronx, NY 10454
Phone (347) 407-7120

3209 3rd Ave
Bronx, NY 10451
Phone (347) 284-0203

866 E Tremont Ave
Bronx, NY 10460
Phone (347) 284-0595

890 Hunts Point Ave
Bronx, NY 10474
Phone (718) 589-2141

953 Southern Blvd
Rm 202
Bronx, NY 10459
Phone (718) 589-4541

960 Southern Blvd
Bronx, NY 10459
Phone (347) 331-6572

3712 108th St
Corona, NY 11368
Phone (718) 639-4107

154 W 127th St
New York, NY 10027
Phone (212) 280-0804

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205932415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 MALCOLM X BLVD",
            "address_2": "WP-522",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371802",
            "telephone_number": "212-939-2740",
            "fax_number": "212-939-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 MALCOLM X BLVD",
            "address_2": "WP-522",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371802",
            "telephone_number": "212-939-2740",
            "fax_number": "212-939-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERWIG",
        "first_name": "KENNETH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "114071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.