Active NPI
Evan Scott Hershkowitz, D.D.S.
- Dentist
- Wappingers Falls, NY
National Provider Identifier
1740489889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 051538-1
- Practice address
- 1001 Route 376
Wappingers Falls, NY 12590-6390 - Phone
- (845) 214-0008
- NPI assigned
- Jul 17, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 051538-1 | NY | Primary |
Addresses
Primary practice location
1001 Route 376
Wappingers Falls, NY 12590-6390
Mailing address
15 Lafayette Dr
New City, NY 10956-5859
Phone (845) 638-2647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02724725 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051538-1 | NY | MD | Dentist |
| 051538 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387152000000",
"number": "1740489889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LAFAYETTE DR",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109565859",
"telephone_number": "845-638-2647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 ROUTE 376",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125906390",
"telephone_number": "845-214-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERSHKOWITZ",
"first_name": "EVAN",
"middle_name": "SCOTT",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-17",
"last_updated": "2013-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "051538-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02724725",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wappingers Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.