Individual provider Active NPI

Amir Herman, D.O.

  • Adult Medicine Physician
  • East Northport, NY
National Provider Identifier
1306867494
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
226879 Issued in NY
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

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060329000579 NY Practitioner - Family Practice 0547278715 Reassigns benefits to 1 organization

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 Home health agency, Northport, NY, CCN 337014
  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400
  • Gurwin Certified Home Health Agency Home health agency, Commack, NY, CCN 337413
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
East Northport Medical Care PLLC CurrentSince Feb 28, 2010 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEFFDD
  • FHIR API: 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.