Active NPI
David Hersh, R.N
- Registered Nurse
- Elmira, NY
National Provider Identifier
1659604072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 434
- Practice address
- 712 Broadway St
Elmira, NY 14904-2017 - Phone
- (607) 846-3850
- NPI assigned
- Sep 16, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | 434848 | NY | |
| Registered Nurse | 163W00000X | 434 | NY | Primary |
Addresses
Primary practice location
712 Broadway St
Elmira, NY 14904-2017
Mailing address
712 Broadway St
Elmira, NY 14904-2017
Phone (607) 846-3850
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 434848 | NY | MD | Chore Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253145600000",
"number": "1659604072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 BROADWAY ST",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149042017",
"telephone_number": "607-846-3850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 BROADWAY ST",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149042017",
"telephone_number": "607-846-3850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERSH",
"first_name": "DAVID",
"credential": "R.N",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-16",
"last_updated": "2009-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NY",
"license": "434848",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.