Active NPI
Kenneth Hershon, MD
- Endocrinology, Diabetes & Metabolism Physician
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 084163-1
- Practice address
- 3003 New Hyde Park Rd
201
New Hyde Park, NY 11042-1214 - Phone
- (516) 327-0850
- Fax
- (516) 327-0920
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 084163-1 | NY | Primary |
Addresses
Primary practice location
3003 New Hyde Park Rd
201
New Hyde Park, NY 11042-1214
Mailing address
3003 New Hyde Park Rd
201
New Hyde Park, NY 11042-1214
Phone (516) 327-0850
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01013264NY01 | Other | ANTHEM | |
| 2503329 | Other | NY | GHI |
| 2503329 | Other | COMBINED WELFARE FUND | |
| 880059 | Other | AETNA | |
| 31269V | Other | VYTRA | |
| 77A041 | Other | NY | BLUE CROSS BLUE SHIELD |
| 110005090 | Other | RAILROAD MEDICARE | |
| 5511594 | Other | NY | CIGNA |
| N24263 | Other | GUARDIAN PHCS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1129 Northern Blvd
Suite 101
Manhasset, NY 11030-3022
Phone (516) 407-2727
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 99.37
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084163-1 | NY | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prine Health Medical Group, PLLC | Current | Accepting new patients | |
| Prine Health Medical Group, PLLC | Current | Accepting new patients |
Locations
20110 Northern Blvd
Ste 304
Bayside, NY 11361
Phone (516) 407-2727
370 Old Country Rd
Ste 100
Garden City, NY 11530
Phone (516) 222-1000
900 Northern Blvd
Ste 245
Great Neck, NY 11021
Phone (516) 482-4343
1129 Northern Blvd
Ste 101
Manhasset, NY 11030
Phone (516) 365-5570
3003 New Hyde Park Rd
Ste 201
New Hyde Park, NY 11042
Phone (516) 327-0850
27005 76th Ave
North New Hyde Pk, NY 11040
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- khershon@prine.curemd.direct-ci.com
- khershon@nsdea.directmedgenehr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba PRINE Podiatry
- Nephrology Physician
- Manhasset, NY
- NPI 1144790163
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1255391017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 NEW HYDE PARK RD",
"address_2": "201",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421214",
"telephone_number": "516-327-0850",
"fax_number": "516-327-0920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 NEW HYDE PARK RD",
"address_2": "201",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421214",
"telephone_number": "516-327-0850",
"fax_number": "516-327-0920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERSHON",
"first_name": "KENNETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "084163-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "01013264NY01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2503329",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMBINED WELFARE FUND",
"identifier": "2503329",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "880059",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "31269V",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "77A041",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110005090",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5511594",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GUARDIAN PHCS",
"identifier": "N24263",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.