Individual provider Active NPI

Andrew M Herbst, MD

  • MOHS-Micrographic Surgery Physician
  • Norwalk, CT
National Provider Identifier
1437198702
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
044188 Issued in CT
Practice address
13 Park St
Norwalk, CT 06851-4811
Phone
(212) 772-9471
NPI assigned
Jun 5, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X NY208616 NY
MOHS-Micrographic Surgery Physician 207ND0101X 044188 CT Primary

Addresses

Primary practice location

13 Park St
Norwalk, CT 06851-4811

Mailing address

401 E 81St St
New York, NY 10028-5813
Phone (212) 772-9471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20060725000460 CT Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - DermatologyPractitioner - Plastic and Reconstructive Surgery 2264413764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
New York University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Skinhealth LLPGroup PAC ID 9638309362, 40 clinicians

Practice addresses (Care Compare)

4 Corporate Dr
Shelton, CT 06484-6211
Phone (203) 538-5682

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision47
Removal of tissue1-10
Removal of skin lesions39
Removal of skin cancer384
Removal or shaving of skin growth1-10
Skin biopsy26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044188CTMDMOHS-Micrographic Surgery Physician
NY208616NYMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of New Jersey PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aherbst@ctsh.emadirect.md

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437198702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 81ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100285813",
            "telephone_number": "212-772-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PARK ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514811",
            "telephone_number": "212-772-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBST",
        "first_name": "ANDREW",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "NY208616",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CT",
            "license": "044188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.