Individual provider Active NPI

Lawrence George Herbert, M.D.

  • Surgery Physician
  • New York, NY
National Provider Identifier
1740403070
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
179763-1 Issued in NY
Practice address
409 E 14TH St
Suite F
New York, NY 10009-2700
Phone
(212) 228-5010
Fax
(212) 598-9699
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 179763-1 NY Primary

Addresses

Primary practice location

409 E 14TH St
Suite F
New York, NY 10009-2700

Mailing address

409 E 14TH St
Suite F
New York, NY 10009-2700
Phone (212) 228-5010

Other identifiers 3

IdentifierTypeStateIssuer
01268973MedicaidNY
0100187OtherNYGHI PROVIDER ID
179763-8SOtherNYWORKMERS COMPENSATION

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
I20120126000513 NY Practitioner - General Surgery 5395927024 Practice locations: New York, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
179763-1NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nitin D Sheth Surgeon PC Surgery Past Accepting new patients

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1740403070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E 14TH ST",
            "address_2": "SUITE F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100092700",
            "telephone_number": "212-228-5010",
            "fax_number": "212-598-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E 14TH ST",
            "address_2": "SUITE F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100092700",
            "telephone_number": "212-228-5010",
            "fax_number": "212-598-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "LAWRENCE",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "179763-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01268973",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER ID",
            "identifier": "0100187",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMERS COMPENSATION",
            "identifier": "179763-8S",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.