Active NPI
Jerry Hersh, MD
- Family Medicine Physician
- Apo Ae, NY
National Provider Identifier
1326081001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD2004-0069
- 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, 2026
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD2004-0069 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Clara Health Center | Past | 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.
-
- General Acute Care Hospital
- Espanola, NM
- NPI 1043396377
-
dba Lame Deer Health Center
- Clinic/Center
- Lame Deer, MT
- NPI 1053487991
Family Medicine
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.