Leonard J Hertzberg MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

005317 Issued in MD

Legal business name

LEONARD J HERTZBERG MD PA

Practice address

1314 Bedford Ave
Suite 109
Baltimore, MD 21208

Phone

(410) 484-1344

Fax

(410) 415-5711

NPI assigned

Nov 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leonard Jerome Hertzberg, MDNPI 1619314580

Title

Psychiatrist

Phone

(410) 484-1344

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leonard J Hertzberg, MD, PO

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1619314580
  NPD (past) Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609940295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 BEDFORD AVE",
            "address_2": "SUITE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-484-1344",
            "fax_number": "410-415-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 BEDFORD AVE",
            "address_2": "SUITE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-484-1344",
            "fax_number": "410-415-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD J HERTZBERG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERTZBERG",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "410-484-1344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "005317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isannette Nicole Leon Feliciano
• Eduardo Raul Leon Guerrero, M.D.
• Brandon Lisanto Leon
• Jordan Leon
• Nicholas Leon, PHARM.D.
• Leonard M. Zullo,M.D.P.a.
• Amanda Leonard, M.P.H., RD
• Ayanna Leonard, RN
• Deanne Leonard, OD
• Erica Leonard, MD

• Psychiatry Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.