Stanley M Hertz MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

127407 Issued in NY

Legal business name

STANLEY M HERTZ MD PC

Practice address

55 Fern Dr
Roslyn, NY 11576-2201

Phone

(516) 484-6366

Fax

(516) 484-2864

NPI assigned

Feb 22, 2011

Organization subpart

No

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

Authorized official

Name

Stanley M Hertz, M.D.NPI 1821166158

Title

President

Phone

(516) 484-6366

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanley Melvin Hertz, M.D.

  • Psychiatry Physician
  • Roslyn, NY
  • NPI 1821166158
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1326345786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FERN DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762201",
            "telephone_number": "516-484-6366",
            "fax_number": "516-484-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FERN DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762201",
            "telephone_number": "516-484-6366",
            "fax_number": "516-484-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY M HERTZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "HERTZ",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-484-6366",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "127407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Francis Hospital
• St Francis Hospital United States Catholic Conference
• St. Francis Hospital
• St. Francis Hospital
• St. Francis Hospital
• Cary Stanton, P.A.
• Eileen Stanton, P.A.A
• George Staphos, P.A.
• Katie Staphos, R.P.A.-C
• Michael Stauder, PA

• Psychiatry Physician in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.