Amir Herman D.O. P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AMIR HERMAN D.O. P.C.

Practice address

93 Main St Ste a
Kings Park, NY 11754-2740

Phone

(631) 292-2725

Fax

(631) 292-2727

NPI assigned

Jul 27, 2010

Organization subpart

No

Name

Amir Herman, D.O.

Title

Medical Director/Owner

Phone

(631) 292-2725

• Kings Park Family Medicine Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2010.

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1275847733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 MAIN ST STE A",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542740",
            "telephone_number": "631-292-2725",
            "fax_number": "631-292-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MAIN ST STE A",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542740",
            "telephone_number": "631-292-2725",
            "fax_number": "631-292-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIR HERMAN D.O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "631-292-2725",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kings Park Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Kings Park, NY
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.