Individual provider Active NPI

Emil Kenneth Heringer, O.D.

  • Optometrist
  • Rockaway, NJ
National Provider Identifier
1205953452
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4406 Issued in NJ
Practice address
301 Mount Hope Ave
Cohen's Fashion Optical, #24
Rockaway, NJ 07866-2130
Phone
(973) 366-2072
Fax
(973) 366-4371
NPI assigned
Mar 23, 2007
Last updated
May 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4406 NJ Primary
Optometrist 152W00000X 4292 NY
Optometrist 152W00000X 1065 CT

Addresses

Primary practice location

301 Mount Hope Ave
Cohen's Fashion Optical, #24
Rockaway, NJ 07866-2130

Mailing address

520 8TH Ave
Ste 900
New York, NY 10018-6507
Phone (212) 729-5300

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

State licenses

LicenseStateTypeSpecialty
4406NJMDPsychologist
1065CTMDOptometrist
4292NYMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1205953452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 8TH AVE",
            "address_2": "STE 900",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186507",
            "telephone_number": "212-729-5300",
            "fax_number": "212-279-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MOUNT HOPE AVE",
            "address_2": "COHEN'S FASHION OPTICAL, #24",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662130",
            "telephone_number": "973-366-2072",
            "fax_number": "973-366-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERINGER",
        "first_name": "EMIL",
        "middle_name": "KENNETH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "4406",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "4292",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "1065",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.