Active NPI
Robert Marc Hertz, M.D.
- Psychiatry Physician
- Albany, NY
National Provider Identifier
1598757247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 156115-1
- Practice address
- 500 Central Ave
Albany, NY 12206-2213 - Phone
- (518) 435-9931
- Fax
- (518) 459-3715
- NPI assigned
- Aug 18, 2005
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 156115-1 | NY | Primary |
Addresses
Primary practice location
500 Central Ave
Albany, NY 12206-2213
Mailing address
500 Central Ave
Albany, NY 12206-2213
Phone (518) 435-9931
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01990981 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1981
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Slingerlands, NY 12159
Phone (518) 330-3082
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156115-1 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Equinox Inc | Psychiatry | Current | Accepting new patients |
Locations
500 Central Ave
Albany, NY 12206
Phone (518) 435-9931
Organizations & group practices 1
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Albany, NY
- NPI 1477695021
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1598757247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CENTRAL AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122062213",
"telephone_number": "518-435-9931",
"fax_number": "518-459-3715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CENTRAL AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122062213",
"telephone_number": "518-435-9931",
"fax_number": "518-459-3715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERTZ",
"first_name": "ROBERT",
"middle_name": "MARC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "156115-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01990981",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.