Individual provider Active NPI

Claudia Herreros, MD

  • Obstetrics & Gynecology Physician
  • New Brunswick, NJ
National Provider Identifier
1558851915
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H27431286558902 Issued in NJ
Practice address
125 Paterson St
New Brunswick, NJ 08901-1962
Phone
(732) 235-6700
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X H27431286558902 NJ Primary

Addresses

Primary practice location

125 Paterson St
New Brunswick, NJ 08901-1962

Mailing address

125 Paterson St
New Brunswick, NJ 08901-1962

Other identifiers 1

IdentifierTypeStateIssuer
H27431286558902OtherNJDRIVER'S

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210225002101 NJ Practitioner - Obstetrics/Gynecology 6709291792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers New Jersey Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical Group PCGroup PAC ID 8628470325, 217 clinicians

Practice addresses (Care Compare)

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-6331

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H27431286558902NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical Group PC Single Specialty CurrentSince Nov 2, 2021 Accepting new patients
St. Joseph's Healthcare, Inc. Single Specialty CurrentSince Nov 30, 2020 Accepting new patients
St Josephs University Medical Center Inc. Single Specialty Past Accepting new patients

Locations

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

11 Getty Ave
Paterson, NJ 07503
Phone (973) 754-4200

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

11 Getty Ave
Paterson, NJ 07503

703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054

220 Hamburg Tpke
Ste 203
Wayne, NJ 07470

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1558851915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PATERSON ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PATERSON ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011962",
            "telephone_number": "732-235-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERREROS",
        "first_name": "CLAUDIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "H27431286558902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S",
            "identifier": "H27431286558902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.