Active NPI
Peter Herz, M.D.
- Gastroenterology Physician
- Kew Gardens, NY
National Provider Identifier
1528284288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 113168
- Practice address
- 8242 Kew Gardens Rd
Kew Gardens, NY 11415-1600 - Phone
- (718) 263-6666
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 113168 | NY | Primary |
Addresses
Primary practice location
8242 Kew Gardens Rd
Kew Gardens, NY 11415-1600
Mailing address
100 Oak Dr
Roslyn, NY 11576-2354
Phone (516) 621-6066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113168 | NY | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528284288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 OAK DR",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115762354",
"telephone_number": "516-621-6066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8242 KEW GARDENS RD",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114151600",
"telephone_number": "718-263-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERZ",
"first_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "113168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kew Gardens, NY
- Health Source Plus Pharmacy, LLC. (Health Source Plus Pharmacy, Long-Term Care)
- Health Source Plus Pharmacy, LLC.
- Dolores Viessa Hernandez, RN
- Jessica Hernandez
- Maylen Victoria Herrera Melendez
- Dianco Lavenski Holder, CASAC
- Mary Katherine Hollenbeck, OTR
- Crystal Michelle Holness, BCBA
- Risa Hoshino, M.D.
- Cynthia Ping Huang
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.