Active NPI
Amir Herman, D.O.
- Adult Medicine Physician
- East Northport, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 226879
- Practice address
- 554 Larkfield Rd
Suite 101
East Northport, NY 11731-4205 - Phone
- (631) 368-9166
- Fax
- (631) 368-5682
- NPI assigned
- Jul 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 226879 | NY | Primary |
Addresses
Primary practice location
554 Larkfield Rd
Suite 101
East Northport, NY 11731-4205
Mailing address
554 Larkfield Rd
Suite 101
East Northport, NY 11731-4205
Phone (631) 368-9166
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
554 Larkfield Rd
Suite 101
East Northport, NY 11731-4205
Phone (631) 368-9166
Hospital & facility affiliations
- VNS & Hospice of Suffolk Inc Chha
- Catholic Home Care
- Peconic Bay Homehealth Services
- Gurwin Certified Home Health Agency
- North Shore University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Northport Medical Care PLLC | Current | Accepting new patients | |
| Anthony J Antonucci M D P C | Past | Accepting new patients |
Locations
554 Larkfield Rd
Ste 101
East Northport, NY 11731
Phone (631) 368-9166
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEFFDD
- https://fhir4.healow.com/fhir/r4/HEFFDD/Endpoint/HEFFDD
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.
-
- Internal Medicine Physician
- East Northport, NY
- NPI 1932431103
-
- Internal Medicine Physician
- Huntington, NY
- NPI 1083751879
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Riverhead, NY
- NPI 1932155678
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
- Skilled Nursing Facility
- Commack, NY
- NPI 1669472304
Home health agency
-
- Home Health Agency
- Commack, NY
- NPI 1679863393
-
- Home Health Agency
- Northport, NY
- NPI 1356494637
-
- Home Health Agency
- Northport, NY
- NPI 1770580516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420502400000",
"number": "1306867494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "554 LARKFIELD RD",
"address_2": "SUITE 101",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117314205",
"telephone_number": "631-368-9166",
"fax_number": "631-368-5682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 LARKFIELD RD",
"address_2": "SUITE 101",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117314205",
"telephone_number": "631-368-9166",
"fax_number": "631-368-5682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "AMIR",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2015-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NY",
"license": "226879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.