Individual provider Active NPI

Izak Herschitz, M.D.

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1700969763
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
138318 Issued in NY
Practice address
1150 Brighton Beach Ave
Brooklyn, NY 11235-5901
Phone
(718) 332-1777
Fax
(718) 332-3913
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 138318 NY Primary

Addresses

Primary practice location

1150 Brighton Beach Ave
Brooklyn, NY 11235-5901

Mailing address

1150 Brighton Beach Ave
Brooklyn, NY 11235-5901
Phone (718) 332-1777

Other identifiers 1

IdentifierTypeStateIssuer
00410288MedicaidNY

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
I20110202000091 NY Practitioner - Ophthalmology 0042490450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Izak Herschitz MD PCGroup PAC ID 5698955003, 2 clinicians

Practice addresses (Care Compare)

1150 Brighton Beach Ave
Apt 1Y
Brooklyn, NY 11235-5954
Phone (718) 332-1777

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
138318NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Izak Herschitz MD PC Ophthalmology CurrentSince Sep 21, 1981 Accepting new patients

Locations

1401 Ocean Ave
Ste Ld
Brooklyn, NY 11230
Phone (718) 513-4455

1150 Brighton Beach Ave
Apt 1Y
Brooklyn, NY 11235
Phone (718) 332-1777

2705 Mermaid Ave
Brooklyn, NY 11224
Phone (718) 265-2222

4023 74th St
Elmhurst, NY 11373
Phone (718) 424-0200

651 Academy St
New York, NY 10034
Phone (212) 569-2035

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1700969763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355901",
            "telephone_number": "718-332-1777",
            "fax_number": "718-332-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355901",
            "telephone_number": "718-332-1777",
            "fax_number": "718-332-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSCHITZ",
        "first_name": "IZAK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "138318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00410288",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.