Organization Active NPI

Daniel J Herera MD LLC

  • Physical Medicine & Rehabilitation Physician
  • Englewood, NJ
National Provider Identifier
1225202526
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA07569100 Issued in NJ
Legal business name
DANIEL J HERERA MD LLC
Practice address
106 Grand Ave
Suite 220
Englewood, NJ 07631-3574
Phone
(201) 850-3190
Fax
(201) 503-1901
NPI assigned
Apr 17, 2008
Last updated
Jul 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Dr. Daniel J Herera, M.D.NPI 1164424958
Title
President
Phone
(201) 784-6012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MA07569100 NJ Primary

Addresses

Primary practice location

106 Grand Ave
Suite 220
Englewood, NJ 07631-3574

Mailing address

59 Church Street
Alpine, NJ 07620
Phone (201) 784-6012

National Provider Directory

National Provider Directory

Locations

97 Engle St
Lowr
Englewood, NJ 07631
Phone (201) 894-3707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1225202526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CHURCH STREET",
            "city": "ALPINE",
            "state": "NJ",
            "postal_code": "07620",
            "telephone_number": "201-784-6012",
            "fax_number": "201-784-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 GRAND AVE",
            "address_2": "SUITE 220",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313574",
            "telephone_number": "201-850-3190",
            "fax_number": "201-503-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J HERERA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "HERERA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-784-6012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA07569100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.