Individual provider Active NPI

Howard J Hirsch, M.D.

  • Diagnostic Radiology Physician
  • Short Hills, NJ
National Provider Identifier
1699863720
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA05289000 Issued in NJ
Practice address
100 Falmouth Street
Short Hills, NJ 07078-1505
Phone
(973) 379-1597
Fax
(973) 379-4440
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA05289000 NJ Primary

Addresses

Primary practice location

100 Falmouth Street
Short Hills, NJ 07078-1505

Mailing address

100 Falmouth Street
Short Hills, NJ 07078-1504
Phone (973) 379-1597

Other identifiers 1

IdentifierTypeStateIssuer
0743208MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20141104000227 NY Practitioner - Diagnostic Radiology 0547255531 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05289000NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Radiologists P C Diagnostic Radiology CurrentSince Aug 15, 2015 Accepting new patients
Hudson Valley Radiologists, PC Diagnostic Radiology CurrentSince Aug 15, 2015 Accepting new patients
Summit Radiological Associates, P.a. Past Accepting new patients
Radiology Professional Association Diagnostic Radiology Past Accepting new patients

Locations

1 Columbia St
Fl 1
Poughkeepsie, NY 12601
Phone (845) 473-1188

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

2678 South Rd
Ste 202
Poughkeepsie, NY 12601
Phone (914) 474-8484

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1699863720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FALMOUTH STREET",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070781504",
            "telephone_number": "973-379-1597",
            "fax_number": "973-379-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FALMOUTH STREET",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070781505",
            "telephone_number": "973-379-1597",
            "fax_number": "973-379-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "HOWARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA05289000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0743208",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Short Hills, NJ

Sources for this page

Verify at the official NPI Registry.