Individual provider Active NPI

Steven D Herman, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Montclair, NJ
National Provider Identifier
1255390787
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MA55082 Issued in NJ
Practice address
1 Bay Ave
Suite 1
Montclair, NJ 07042-4837
Phone
(551) 996-5960
Fax
(973) 680-7766
NPI assigned
Mar 22, 2006
Last updated
Jan 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MA55082 NJ Primary

Addresses

Primary practice location

1 Bay Ave
Suite 1
Montclair, NJ 07042-4837

Mailing address

PO Box 419430 Suite 1
Boston, MA 02241-9430
Phone (201) 967-8221

Other identifiers 1

IdentifierTypeStateIssuer
01797837MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040517000036 NY Practitioner - Thoracic SurgeryPractitioner - General Surgery 6406846955 Reassigns benefits to 2 organizations
I20041104000991 NJ Practitioner - Thoracic Surgery 6406846955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
Johns Hopkins University School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MMC Division of General Thoracic Surgery F P PGroup PAC ID 1153420617, 5 clinicians

Practice addresses (Care Compare)

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-5433

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106799NYMDSocial Worker
MA55082NJMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Sep 1, 2020 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Nov 27, 2016 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Nov 27, 2016 Accepting new patients
MMC Division of General Thoracic Surgery F P P Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 1, 2020 Accepting new patients
Suny Health Science Center at Brooklyn Past Accepting new patients
Maimonides Medical Center Maimonides Cardiothoracic Surgery Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
MMC Pediatrics Faculty Practice Past Accepting new patients
University Physicians of Brooklyn, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
State of New York Past Accepting new patients
State of New York Comptrollers Office Past Accepting new patients
Audiology Associates of Hudson County LLC Past Accepting new patients
Lich Faculty Practice Past Accepting new patients

Locations

20 Prospect Ave
Hackensack, NJ 07601
Phone (201) 996-2816

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

865 Stone St
Rahway, NJ 07065
Phone (732) 381-4000

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: stevenherman@mai.allscriptsdirect.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1255390787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419430 SUITE 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022419430",
            "telephone_number": "201-967-8221",
            "fax_number": "201-483-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAY AVE",
            "address_2": "SUITE 1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424837",
            "telephone_number": "551-996-5960",
            "fax_number": "973-680-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "STEVEN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "MA55082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01797837",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.