Hercules Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HERCULES MEDICAL PC

Practice address

177 East 87TH St
Ste 406
New York, NY 10128-2226

Phone

(212) 348-5100

Fax

(212) 410-3507

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Tatiana Mamaeva, MD

Title

Medical Director

Phone

(212) 348-5100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669537882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 EAST 87TH ST",
            "address_2": "STE 406",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282226",
            "telephone_number": "212-348-5100",
            "fax_number": "212-410-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 EAST 87TH ST",
            "address_2": "STE 406",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282226",
            "telephone_number": "212-348-5100",
            "fax_number": "212-410-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERCULES MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAMAEVA",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-348-5100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Patricia Barretto Herce
• Roberta Herche, MSW
• Alison Herchenroder, PSY.D.
• Daniel S Herchenroder
• Jaylen Herchenroder
• Andrea Hercules, CPNP
• Felicia Hercules, MD
• Yonette R Hercules, PA
• Deborah J Herdan, CNM
• Adam Michael Herder, M.D.

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• 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.