Organization Active NPI

Medical Practice of Wilfrid Herard, P.C.

  • Pulmonary Disease Physician
  • Brooklyn, NY
National Provider Identifier
1649515792
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
175218 Issued in NY
Legal business name
MEDICAL PRACTICE OF WILFRID HERARD, P.C.
Practice address
622 Ocean Ave
Brooklyn, NY 11226-4403
Phone
(718) 693-2800
Fax
(978) 701-6012
NPI assigned
Nov 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Authorized official

Name
Wilfrid Herard, M.D.NPI 1518924489
Title
Internal Medicine-Pulmonary Disease
Phone
(718) 693-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 175218 NY Primary

Addresses

Primary practice location

622 Ocean Ave
Brooklyn, NY 11226-4403

Mailing address

622 Ocean Ave
Brooklyn, NY 11226-4403
Phone (718) 693-2800

Other identifiers 1

IdentifierTypeStateIssuer
01450453MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180611001098 NY Part B Supplier - Clinic/Group Practice 9830444199 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

622 Ocean Ave
Brooklyn, NY 11226
Phone (718) 693-2800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1649515792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264403",
            "telephone_number": "718-693-2800",
            "fax_number": "978-701-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264403",
            "telephone_number": "718-693-2800",
            "fax_number": "978-701-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PRACTICE OF WILFRID HERARD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "HERARD",
        "authorized_official_first_name": "WILFRID",
        "authorized_official_title_or_position": "INTERNAL MEDICINE-PULMONARY DISEASE",
        "authorized_official_telephone_number": "718-693-2800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "175218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01450453",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.