Active NPI
Abraham J. Herzberg
- Durable Medical Equipment & Medical Supplies
- Valley Stream, NY
National Provider Identifier
1447420880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00579722 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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.