Organization Active NPI

Stuart J Hershon, M.D., P.C.

  • Specialist
  • New Hyde Park, NY
National Provider Identifier
1700187994
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
092576 Issued in NY
Legal business name
STUART J HERSHON, M.D., P.C.
Practice address
1999 Marcus Ave
Suite 306
New Hyde Park, NY 11042-1033
Phone
(516) 467-8600
Fax
(646) 754-9820
NPI assigned
Nov 4, 2010
Last updated
Feb 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Dr. Stuart J Hershon, M.D.NPI 1750347654
Title
Owner
Phone
(516) 467-8603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 092576 NY Primary

Addresses

Primary practice location

1999 Marcus Ave
Suite 306
New Hyde Park, NY 11042-1033

Mailing address

1999 Marcus Avenue
Suite 306
New Hyde Park, NY 11042-2900
Phone (516) 467-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260421000029 NY Part B Supplier - Clinic/Group Practice 0042786683 Receives reassigned benefits from 1 practitioner
Practice locations: Sea Cliff, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1700187994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVENUE",
            "address_2": "SUITE 306",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422900",
            "telephone_number": "516-467-8600",
            "fax_number": "646-754-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE",
            "address_2": "SUITE 306",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421033",
            "telephone_number": "516-467-8600",
            "fax_number": "646-754-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART J HERSHON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "HERSHON",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-467-8603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "092576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.