Luis Oscar Herrera-Acevedo, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

196850 Issued in NY

Practice address

43 Church St
Freeport, NY 11520-3830

Phone

(516) 223-2900

Fax

(516) 223-7320

NPI assigned

Nov 4, 2005

Last updated

Feb 24, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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.

• Idro Medical PC

  • Clinic/Center
  • Freeport, NY
  • NPI 1982785606
  NPD (past)
• Luis O Herrera

  • Primary Care Clinic/Center
  • Freeport, NY
  • NPI 1104167295
  NPD (past)
• University Group Medical Associates, P.C

  dba Coney Island Medical Group

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1285683102

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1437140761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 CLIFFSIDE AVE",
            "city": "NORTH WOODMERE",
            "state": "NY",
            "postal_code": "115813001",
            "telephone_number": "516-791-5919",
            "fax_number": "516-223-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CHURCH ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203830",
            "telephone_number": "516-223-2900",
            "fax_number": "516-223-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA-ACEVEDO",
        "first_name": "LUIS",
        "middle_name": "OSCAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "196850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01513620046",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belize Hendrick-Joseph, RN
• Karline Henry-Triebel
• Scott Evan Herbert, DPM
• Gabriela Hernandez Diaz
• Gabriella O Hernandez, MSW
• Herrmann Dental PLLC
• Lorraine Ann Herrmann, DDS
• Teddy Hervias, RPA-C
• Paula Dianne Hinton, LCSW
• Hispanic Group Services

• Pediatrics Physician in Freeport, NY
• Providers in Freeport, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.