Active NPI
Perry B Herson MD PC
- Specialist
- Williston Park, NY
National Provider Identifier
1265620066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 201461
- Legal business name
- PERRY B HERSON MD PC
- Practice address
- 99 Hillside Ave
Suite 99F
Williston Park, NY 11596-2333 - Phone
- (516) 746-0772
- Fax
- (516) 746-0310
- NPI assigned
- Oct 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cara Munoz-Vogt, OM
- Title
- Billing Manager
- Phone
- (516) 746-0772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 201461 | NY | Primary |
Addresses
Primary practice location
99 Hillside Ave
Suite 99F
Williston Park, NY 11596-2333
Mailing address
99 Hillside Ave
Suite 99F
Williston Park, NY 11596-2333
Phone (516) 746-0772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
99 Hillside Ave
#99F
Williston Park, NY 11596
Phone (516) 746-0772
99 Hillside Ave
Ste 99F
Williston Pk, NY 11596
Phone (516) 746-0772
105 Hillside Ave
Ste 1A
Williston Pk, NY 11596
Phone (516) 746-0772
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Williston Park, NY
- NPI 1396811725
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- New York, NY
- NPI 1942260419
Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317081600000",
"number": "1265620066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 HILLSIDE AVE",
"address_2": "SUITE 99F",
"city": "WILLISTON PARK",
"state": "NY",
"postal_code": "115962333",
"telephone_number": "516-746-0772",
"fax_number": "516-746-0310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 HILLSIDE AVE",
"address_2": "SUITE 99F",
"city": "WILLISTON PARK",
"state": "NY",
"postal_code": "115962333",
"telephone_number": "516-746-0772",
"fax_number": "516-746-0310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERRY B HERSON MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-05",
"last_updated": "2011-09-27",
"status": "A",
"authorized_official_last_name": "MUNOZ-VOGT",
"authorized_official_first_name": "CARA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "516-746-0772",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OM"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "201461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williston Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.