Organization Active NPI

Abraham J. Herzberg

  • Durable Medical Equipment & Medical Supplies
  • Valley Stream, NY
National Provider Identifier
1447420880
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ABRAHAM J. HERZBERG
Practice address
300 Franklin Ave
Valley Stream, NY 11580-2107
Phone
(516) 561-1617
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Authorized official

Name
Abraham J. Herzberg
Title
Owner
Phone
(516) 561-1617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

300 Franklin Ave
Valley Stream, NY 11580-2107

Mailing address

300 Franklin Ave
Valley Stream, NY 11580-2107
Phone (516) 561-1617

Other identifiers 1

IdentifierTypeStateIssuer
00579722MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1447420880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FRANKLIN AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802107",
            "telephone_number": "516-561-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FRANKLIN AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802107",
            "telephone_number": "516-561-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAHAM J. HERZBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "HERZBERG",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-561-1617"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00579722",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.