Individual provider Active NPI

Herbert C Schmirer, DPM

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1700871597
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
002445 Issued in NY
Practice address
650 E 104TH St
Brooklyn, NY 11236-2504
Phone
(516) 732-0208
Fax
(516) 708-9040
NPI assigned
Sep 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 002445 NY Primary

Addresses

Primary practice location

650 E 104TH St
Brooklyn, NY 11236-2504

Mailing address

9 Dock LN
Port Washington, NY 11050-1731
Phone (516) 732-0208

Other identifiers 2

IdentifierTypeStateIssuer
4809220362OtherNYMEDICARE RRB
00405207MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250331000164 NY Order and Referring Only - PodiatryPractitioner - Podiatry 9436190881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002445NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Herbert C Schmirer, DPM, PC Podiatrist Current Accepting new patients

Locations

360 9th St
Brooklyn, NY 11215
Phone (212) 417-0150

Organizations & group practices 1

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": "1126915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1700871597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DOCK LN",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501731",
            "telephone_number": "516-732-0208",
            "fax_number": "516-708-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E 104TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362504",
            "telephone_number": "516-732-0208",
            "fax_number": "516-708-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIRER",
        "first_name": "HERBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-17",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "002445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RRB",
            "identifier": "4809220362",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00405207",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.