Individual provider Active NPI

Jerry Hersh, MD

  • Family Medicine Physician
  • Apo Ae, NY
National Provider Identifier
1326081001
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2004-0069 Issued in NM
Practice address
Vicenza Health Clinic
Vicenza Health Clinic, Vicenza, Italy
Apo Ae, NY 09630-0016
Phone
(044) 471-8301
Fax
(044) 471-8210
NPI assigned
Jun 13, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2004-0069 NM Primary

Addresses

Primary practice location

Vicenza Health Clinic
Vicenza Health Clinic, Vicenza, Italy
Apo Ae, NY 09630-0016

Mailing address

CMR 427 Box 1559
Apo Ae, NY 09630-0016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2004-0069NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Clara Health Center PastSince Jan 19, 2012 Accepting new patients
US Dept of HHS Family Medicine Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326081001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CMR 427 BOX 1559",
            "city": "APO AE",
            "state": "NY",
            "postal_code": "096300016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VICENZA HEALTH CLINIC",
            "address_2": "VICENZA HEALTH CLINIC, VICENZA, ITALY",
            "city": "APO AE",
            "state": "NY",
            "postal_code": "096300016",
            "telephone_number": "044-471-8301",
            "fax_number": "044-471-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSH",
        "first_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2004-0069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apo Ae, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.