NPIMap

Individual provider Active NPI

Ian R Hersh, DPM

  • Foot & Ankle Surgery Podiatrist
  • Ocean, NJ
National Provider Identifier
1578725230
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00312100 Issued in NJ
Practice address
1200 Eagle Ave
Ocean, NJ 07712-7631
Phone
(732) 660-6200
Fax
(732) 660-6201
NPI assigned
Jun 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006056 PA
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00312100 NJ Primary

Addresses

Primary practice location

1200 Eagle Ave
Ocean, NJ 07712-7631

Mailing address

1200 Eagle Ave
Ocean, NJ 07712-7631
Phone (732) 660-6200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130218000459 NJ Practitioner - Podiatry 8426222068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 Eagle Ave
Ocean, NJ 07712-7631
Phone 732660620011702

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1296
Removal of nail tissue332
Removal or shaving of skin growth210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00312100NJMDFoot & Ankle Surgery Podiatrist
SC006056PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Med Associates LLC Foot & Ankle Surgery CurrentSince Jun 1, 2019 Accepting new patients
Seaview Orthopaedics & Medical Associates LLP CurrentSince Jul 1, 2022 Accepting new patients
Seaview Orthopaedics & Medical Associates LLP CurrentSince Jul 1, 2022 Accepting new patients
Brandywine Podiatry, PA Foot & Ankle Surgery Past Accepting new patients
Liberty Med Associates LLC Foot & Ankle Surgery Past Accepting new patients

Locations

1640 Route 88 W
Brick, NJ 08724
Phone (732) 458-7866

1640 Route 88 W
Ste 101
Brick, NJ 08724
Phone (732) 458-7866

222 Schanck Rd
Freehold, NJ 07728
Phone (732) 431-3373

1 Bethany Rd
Ste 21
Hazlet, NJ 07730
Phone (732) 264-8282

999 Palmer Ave
Ste 1
Holmdel, NJ 07733
Phone (732) 670-3313

2139 State Route 35
Ste 140
Holmdel, NJ 07733
Phone (732) 897-4800

1200 Eagle Ave
Ste 100
Ocean, NJ 07712

1200 Eagle Ave
Ocean, NJ 07712

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051

Interoperability endpoints

  • Direct secure messaging: ihersh@amg-nj.direct.office.nextgen.com
  • Direct secure messaging: ian.hersh@svo.eclinicaldirectplus.com

Organizations & group practices 5

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

Hospital & facility affiliations 10

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1578725230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EAGLE AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127631",
            "telephone_number": "732-660-6200",
            "fax_number": "732-660-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EAGLE AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127631",
            "telephone_number": "732-660-6200",
            "fax_number": "732-660-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSH",
        "first_name": "IAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006056",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00312100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.