Active NPI
Sheldon Paul Hersh, MD
- Otolaryngology/Facial Plastic Surgery Physician
- Forest Hills, NY
National Provider Identifier
1699885483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 138505
- Practice address
- 11011 72ND Ave
Suite 1B
Forest Hills, NY 11375-4946 - Phone
- (718) 261-9000
- Fax
- (718) 268-0504
- NPI assigned
- Aug 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 138505 | NY | Primary |
Addresses
Primary practice location
11011 72ND Ave
Suite 1B
Forest Hills, NY 11375-4946
Mailing address
11011 72ND Ave
Suite 1B
Forest Hills, NY 11375-4946
Phone (718) 261-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00744234 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110309000062 | NY | Practitioner - Otolaryngology | 0749462992 | Practice locations: Woodmere, NY; Forest Hills, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- New York Medical College, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
949 Central Ave
Suite 201
Woodmere, NY 11598-1204
Phone (516) 295-1015
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138505 | NY | MD | Otolaryngology/Facial Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699885483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11011 72ND AVE",
"address_2": "SUITE 1B",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754946",
"telephone_number": "718-261-9000",
"fax_number": "718-268-0504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11011 72ND AVE",
"address_2": "SUITE 1B",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754946",
"telephone_number": "718-261-9000",
"fax_number": "718-268-0504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERSH",
"first_name": "SHELDON",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "NY",
"license": "138505",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00744234",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.