Active NPI
Steven M. Hertz, MD
- Vascular Surgery Physician
- West Orange, NJ
National Provider Identifier
1326009283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 25MA05931000
- Practice address
- 1500 Pleasant Valley Way
Suite 302
West Orange, NJ 07052-2956 - Phone
- (973) 324-0988
- Fax
- (973) 324-1064
- NPI assigned
- Mar 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 25MA05931000 | NJ | Primary |
Addresses
Primary practice location
1500 Pleasant Valley Way
Suite 302
West Orange, NJ 07052-2956
Mailing address
1500 Pleasant Valley Way
Suite 302
West Orange, NJ 07052-2956
Phone (973) 324-0988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040331000362 | NJ | Practitioner - Vascular Surgery | 1052303104 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05931000 | NJ | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1326009283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 PLEASANT VALLEY WAY",
"address_2": "SUITE 302",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522956",
"telephone_number": "973-324-0988",
"fax_number": "973-324-1064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 PLEASANT VALLEY WAY",
"address_2": "SUITE 302",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522956",
"telephone_number": "973-324-0988",
"fax_number": "973-324-1064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERTZ",
"first_name": "STEVEN",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NJ",
"license": "25MA05931000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.