Organization Active NPI

Herbert & Kong LLC

  • General Practice Physician
  • Cambridge, MA
National Provider Identifier
1487033288
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
150498 Issued in MA
Legal business name
HERBERT & KONG LLC
Practice address
777 Concord Ave
Suite 104
Cambridge, MA 02138-1056
Phone
(857) 366-9399
Fax
(857) 263-5810
NPI assigned
May 26, 2015
Organization subpart
Yes
Parent organization
NOT APPLICABLE (SAME AS ORG - COMPUTER REQUIRING FILLING IN FIELD)As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Dr. Martha R. Herbert, MDNPI 1588655104
Title
Co-Director
Phone
(857) 366-9399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 150498 MA Primary

Addresses

Primary practice location

777 Concord Ave
Suite 104
Cambridge, MA 02138-1056

Mailing address

777 Concord Ave,
Suite 104
Cambridge, MA 02138-1053
Phone (857) 366-9399

Other names 1

  • Body-Brain Resilience Center... Doing business as

National Provider Directory

National Provider Directory
Part of
Herbert Kong LLC

Locations

777 Concord Ave
Ste 104
Cambridge, MA 02138
Phone (857) 366-9399

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1487033288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CONCORD AVE,",
            "address_2": "SUITE 104",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381053",
            "telephone_number": "857-366-9399",
            "fax_number": "857-263-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CONCORD AVE",
            "address_2": "SUITE 104",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381056",
            "telephone_number": "857-366-9399",
            "fax_number": "857-263-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT & KONG LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOT APPLICABLE (SAME AS ORG - COMPUTER REQUIRING FILLING IN FIELD)",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "HERBERT",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "857-366-9399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MA",
            "license": "150498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body-Brain Resilience Center...",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.