Herschel Flax, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

124389 Issued in NY

Practice address

9 E 63Rd St
New York, NY 10021-7236

Phone

(212) 755-3833

Fax

(212) 832-9279

NPI assigned

Dec 25, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 27, 2016 through Jan 27, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295890986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HICKORY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211707",
            "telephone_number": "516-487-3185",
            "fax_number": "516-487-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E 63RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100217236",
            "telephone_number": "212-755-3833",
            "fax_number": "212-832-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAX",
        "first_name": "HERSCHEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "124389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Flaum, PHD
• Sophia Flaum
• Robert Richard Flavell, MD
• Esther Flavien, MHC-LP
• Breean Flax
• Kenneth Lyle Flax
• Samuel Leon Flax, D.P.T.
• Erwin Flaxman
• Sheila Flaxman
• Scarlett Flaz, MD

• Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.