Susan Herzog, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

3009781 Issued in NY

Practice address

303 S Broadway
Tarrytown, NY 10591-5413

Phone

(914) 606-5022

NPI assigned

Aug 19, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1619257888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S BROADWAY",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S BROADWAY",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915413",
            "telephone_number": "914-606-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "SUSAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "3009781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PROFESSIONAL NURSE",
            "identifier": "3009781",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Promise E Haynes, PMHNP-BC
• Daniel Helbig, ATC
• James Hellerman, MD
• Jean M Henneberry, MD
• Reina Maria Hernandez
• Kristina Hester, MHC - LP
• Ute Hickman, L.AC.
• Roy Abraham Hillman, M.D.
• Karyn Marlene Hirsch, M.D.
• Seongna Hong, FNP-BC

• Case Management Registered Nurse in Tarrytown, NY
• Providers in Tarrytown, NY by specialty
• Case Management Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.