Individual provider Active NPI

Gary Steven Herring, M.D.

  • Family Medicine Physician
  • Hillsdale, NJ
National Provider Identifier
1669576187
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA55527 Issued in NJ
Practice address
131 Craig Rd
Hillsdale, NJ 07642-1054
Phone
(201) 664-3612
Fax
(201) 722-3560
NPI assigned
Sep 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA55527 NJ Primary
Family Medicine Physician 207Q00000X 209625-1 NY

Addresses

Primary practice location

131 Craig Rd
Hillsdale, NJ 07642-1054

Mailing address

131 Craig Rd
Hillsdale, NJ 07642-1054
Phone (201) 664-3612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090212000617 NJ Practitioner - Family Practice 8325085855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bergen Medical Sports and Spine, Inc.Group PAC ID 8022203033, 15 clinicians

Practice addresses (Care Compare)

1 Sears Dr
Paramus, NJ 07652-3510
Phone (201) 261-5220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA55527NJMDFamily Medicine Physician
209625-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen Medical Sports & Spine, Inc. CurrentSince Jun 15, 2010 Accepting new patients
Academy Total Health Center, LLC Past Accepting new patients
Wellness One of South Bergen Past Accepting new patients
City Medical P.C. Family Medicine Past Accepting new patients
Academy Spine & Physical Therapy, LLC Past Accepting new patients

Locations

10 E 22nd St
Bayonne, NJ 07002
Phone (201) 339-8889

1 Sears Dr
Ste 305
Paramus, NJ 07652
Phone (201) 261-5220

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669576187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CRAIG RD",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076421054",
            "telephone_number": "201-664-3612",
            "fax_number": "201-722-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CRAIG RD",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076421054",
            "telephone_number": "201-664-3612",
            "fax_number": "201-722-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "GARY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA55527",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "209625-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, NJ

Sources for this page

Verify at the official NPI Registry.