Individual provider Active NPI

Douglas Edward Hertford, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1376626580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
178969-1 Issued in NY
Practice address
400 E 66TH St
New York, NY 10021-9314
Phone
(212) 838-4243
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

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
Diagnostic Radiology Physician 2085R0202X 178969-1 NY Primary

Addresses

Primary practice location

400 E 66TH St
New York, NY 10021-9314

Mailing address

415 E 37TH St
New York, NY 10016-3200
Phone (212) 779-7189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070502000226 NY Practitioner - Diagnostic Radiology 7416053863 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Wisconsin School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Private Medical Imaging Practice, PLLCGroup PAC ID 1355414178, 8 clinicians
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Practice addresses (Care Compare)

106 E 61St St
New York, NY 10065-8102
Phone (212) 772-7637

61 E 77TH St
New York, NY 10075-1817
Phone (212) 772-3111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
178969-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Feb 7, 2017 Accepting new patients
Advantagecare Physicians PC CurrentSince Feb 7, 2017 Accepting new patients
New York Private Medical Imaging Practice, PLLC CurrentSince Jul 1, 2019 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Oct 15, 2016 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Jun 24, 2019 Accepting new patients
DRS. Beranbaum, Khilnani, Neistadt, Jacobs, Hertz & Sherman, LLP Diagnostic Radiology Past Accepting new patients
North Shore Health System Medical Faculty Group Practice Inc Past Accepting new patients
Advanced Radiological Imaging-Astoria PC Diagnostic Radiology PastSince Oct 15, 2016 Accepting new patients
Beranbaum, Khilnani, Neistadt, Jacobs, Hertz and Sherman, M.D., P.C. Past Accepting new patients

Locations

27443 Network Pl
Chicago, IL 60673

27745 Network Pl
Chicago, IL 60673

2916 Astoria Blvd
Astoria, NY 11102
Phone (718) 204-5800

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532

9610 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 459-0400

226 Clinton St
Hempstead, NY 11550
Phone (516) 483-2020

505 State Route 208
Monroe, NY 10950
Phone (845) 783-3444

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

205 E 64th St
Ste 402
New York, NY 10065
Phone (212) 759-4460

106 E 61st St
New York, NY 10065
Phone (212) 751-9090

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

400 E 66th St
New York, NY 10065
Phone (212) 838-4243

215 E 95th St
New York, NY 10128
Phone (212) 423-3111

315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300

147 W 15th St
New York, NY 10011
Phone (212) 473-5323

320 Robinson Ave
Newburgh, NY 12550
Phone (845) 565-1989

11 N Airmont Rd
Suffern, NY 10901
Phone (845) 357-1120

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 9

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376626580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E 37TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163200",
            "telephone_number": "212-779-7189",
            "fax_number": "212-898-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 66TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100219314",
            "telephone_number": "212-838-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTFORD",
        "first_name": "DOUGLAS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "178969-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.