Individual provider Active NPI

Shoshana Herschberg

  • Specialist
  • West Hempstead, NY
National Provider Identifier
1639515273
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
838126981 Issued in NY
Practice address
230 Bedell Ter
West Hempstead, NY 11552-2445
Phone
(516) 481-9309
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 838126981 NY Primary

Addresses

Primary practice location

230 Bedell Ter
West Hempstead, NY 11552-2445

Mailing address

230 Bedell Ter
West Hempstead, NY 11552-2445
Phone (516) 481-9309

Other names 1

  • Shani Adler Former name

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
838126981NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1639515273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BEDELL TER",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522445",
            "telephone_number": "516-481-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BEDELL TER",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522445",
            "telephone_number": "516-481-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSCHBERG",
        "first_name": "SHOSHANA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "838126981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANI",
            "last_name": "ADLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.