Joseph Herbin, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

013393 Issued in CT

Practice address

2150 Black Rock Tpke
2ND Floor
Fairfield, CT 06825-3239

Phone

(203) 384-0451

Fax

(203) 383-4325

NPI assigned

Apr 7, 2006

Last updated

May 31, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Primed, LLC

  • Podiatrist
  • Trumbull, CT
  • NPI 1730423468
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1417910928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 BLACK ROCK TPKE",
            "address_2": "2ND FLOOR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253239",
            "telephone_number": "203-384-0451",
            "fax_number": "203-383-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 BLACK ROCK TPKE",
            "address_2": "2ND FLOOR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253239",
            "telephone_number": "203-384-0451",
            "fax_number": "203-383-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBIN",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CT",
            "license": "013393",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "013393",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001133933",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theodore Hendrickson
• Brian J. Henninger, N.D.
• Susan Lipman Henry, LCSW
• Kathryn Hepp
• Her Transformation OBGYN, PLLC (Her Transformation OBGYN)
• Monica Heredia, PTA
• Roseanne M Herlihy, MS OTR/L
• Scott Herman, MD
• Herbert Hermele, MD
• Avery Herrera

• Geriatric Medicine (Internal Medicine) Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Geriatric Medicine (Internal Medicine) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.