Individual provider Active NPI

Alvin T Hershfeld, DO

  • Family Medicine Physician
  • Howard Beach, NY
National Provider Identifier
1255483574
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
112486 Issued in NY
Practice address
15640 Crossbay Blvd
Howard Beach, NY 11414-2745
Phone
(718) 529-4500
Fax
(718) 529-4665
NPI assigned
Jan 17, 2007
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
Family Medicine Physician 207Q00000X 112486 NY Primary

Addresses

Primary practice location

15640 Crossbay Blvd
Howard Beach, NY 11414-2745

Mailing address

15640 Crossbay Blvd
Howard Beach, NY 11414-2745
Phone (718) 529-4500

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
I20050113001061 NY Practitioner - Internal Medicine 3375501257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15636 Crossbay Blvd
Suite 2
Howard Beach, NY 11414-2700
Phone (718) 529-4500

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112486NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Office of Howard Beach Current Accepting new patients
Medical Office of Howard Beach, PC Family Medicine CurrentSince Oct 1, 2004 Accepting new patients

Locations

15636 Crossbay Blvd
Ste 2
Howard Beach, NY 11414
Phone (718) 529-4500

15640 Crossbay Blvd
Howard Beach, NY 11414
Phone 212213087712

15640 Crossbay Blvd
Ste 1
Howard Beach, NY 11414

Interoperability endpoints

  • Direct secure messaging: alvin.hershfeld@1333.securemail.prognocis.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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255483574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15640 CROSSBAY BLVD",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114142745",
            "telephone_number": "718-529-4500",
            "fax_number": "718-529-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 CROSSBAY BLVD",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114142745",
            "telephone_number": "718-529-4500",
            "fax_number": "718-529-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHFELD",
        "first_name": "ALVIN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "112486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard Beach, NY

Sources for this page

Verify at the official NPI Registry.