Individual provider Active NPI

Herlin Dennie

  • Specialist
  • Bronx, NY
National Provider Identifier
1598028573
Registry record updated Jun 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
673458 Issued in NY
Practice address
1338 E 224TH St
Bronx, NY 10466-5808
Phone
(347) 920-6691
NPI assigned
Jun 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 673458 NY Primary

Addresses

Primary practice location

1338 E 224TH St
Bronx, NY 10466-5808

Mailing address

1338 E 224TH St
Bronx, NY 10466-5808

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

State licenses

LicenseStateTypeSpecialty
673458NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340496000000",
    "number": "1598028573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 E 224TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 E 224TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665808",
            "telephone_number": "347-920-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIE",
        "first_name": "HERLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-24",
        "last_updated": "2012-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "673458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2012; 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.