Individual provider Active NPI

Peter S. Hersh, M.D.

  • Specialist
  • Teaneck, NJ
National Provider Identifier
1366564346
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA5237NJ Issued in NJ
Practice address
300 Frank W Burr Blvd
Teaneck, NJ 07666-6704
Phone
(201) 692-9434
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA5237NJ NJ Primary

Addresses

Primary practice location

300 Frank W Burr Blvd
Teaneck, NJ 07666-6704

Mailing address

300 Frank W Burr Blvd
Teaneck, NJ 07666-6704
Phone (201) 692-9434

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120323000398 NJ Practitioner - Ophthalmology 7719003227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Cornea and Laser Eye Institute, P.a.Group PAC ID 1456490044, 4 clinicians

Practice addresses (Care Compare)

300 Frank W Burr Blvd
Suite 71
Teaneck, NJ 07666-6703
Phone (201) 692-9434

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA5237NJNJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Cornea and Laser Eye Institute, P.a. Specialist CurrentSince Sep 1, 1995 Accepting new patients

Locations

300 Frank W Burr Blvd
Ste 71
Teaneck, NJ 07666
Phone (201) 692-9434

300 Frank W Burr Blvd
Teaneck, NJ 07666
Phone (201) 692-9434

Interoperability endpoints

  • Direct secure messaging: phersh@visioninstitute.intellechartdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366564346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FRANK W BURR BLVD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666704",
            "telephone_number": "201-692-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FRANK W BURR BLVD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666704",
            "telephone_number": "201-692-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSH",
        "first_name": "PETER",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA5237NJ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.