Organization Active NPI

Perry B Herson MD PC

  • Specialist
  • Williston Park, NY
National Provider Identifier
1265620066
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
201461 Issued in NY
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

Updated by the provider on Sep 27, 2011

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20110822000111 NY Part B Supplier - Clinic/Group Practice 8820989718 Receives reassigned benefits from 1 practitioner
Practice locations: Williston Park, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.