Jacqueline Crerar Herbach, MT

Primary specialty

SpecialistTaxonomy code 174400000X

License

003863-1 Issued in NY

Practice address

211 E 80TH St
New York, NY 10075-0531

Phone

(646) 962-8690

NPI assigned

Jan 26, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1437696549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 QUEENS BLVD APT 19W",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753657",
            "telephone_number": "917-533-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 80TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750531",
            "telephone_number": "646-962-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRERAR HERBACH",
        "first_name": "JACQUELINE",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "003863-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Leonard Cregler, M.D.
• Shannon A Crehan, MD
• Andrew Creighton, D.O.
• Rose Creighton
• Chava Ariel Creque, PHD
• Brad Crerar, PA-C
• Anthony M Crescenzo Sr., LCSW
• Catharine M Crescenzo
• Gianna Crescenzo
• Lee Crespi, LCSW

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.