Jack I Hershman, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

151313 Issued in NY

Practice address

777 N Broadway
Suite 309
Sleepy Hollow, NY 10591-1000

Phone

(914) 631-3331

Fax

(914) 631-5838

NPI assigned

May 16, 2006

Last updated

Oct 13, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Urology

Education

Icahn School of Medicine at Mount Sinai, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phelps Hospital Hospital, Sleepy Hollow, NY, CCN 330261
• St John's Riverside Hospital Hospital, Yonkers, NY, CCN 330208

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: jhershman69150@northwell.direct-ci.com

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.

• Seshamma Thikkavarapu Reddy, M.D, PH.D

  • Anatomic Pathology Physician
  • Nashville, TN
  • NPI 1508020298

  NY

  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment Care Compare group NPD
• Phelps Memorial Hospital Association

  dba Phelps Hospital

  • General Acute Care Hospital
  • Sleepy Hollow, NY
  • NPI 1720185267
  Medicare reassignment NPD
• Westchester Medical Center Advanced Physician Services, PC

  • Surgery Physician
  • Valhalla, NY
  • NPI 1912131392
  Medicare reassignment NPD
• Phelps Memorial Hospital Association

  dba Phelps Professional Services

  • Internal Medicine Physician
  • Sleepy Hollow, NY
  • NPI 1003908658
  NPD
• Phelps Memorial Hospital Association

  dba Vivo Health Pharmacy at Phelps

  • Community/Retail Pharmacy
  • Sleepy Hollow, NY
  • NPI 1285706077
  NPD
• Westchester Medical Center Advanced Physician Services PC

  • Anesthesiology Physician
  • Valhalla, NY
  • NPI 1740687458
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Phelps Memorial Hospital Association

  dba Phelps Hospital

  • General Acute Care Hospital
  • Sleepy Hollow, NY
  • NPI 1720185267
  Care Compare affiliation
• St. John's Riverside Hospital

  • General Acute Care Hospital
  • Yonkers, NY
  • NPI 1578526695
  Care Compare affiliation

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1750333274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N BROADWAY",
            "address_2": "SUITE 309",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911000",
            "telephone_number": "914-631-3331",
            "fax_number": "914-631-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N BROADWAY",
            "address_2": "SUITE 309",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911000",
            "telephone_number": "914-631-3331",
            "fax_number": "914-631-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHMAN",
        "first_name": "JACK",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "151313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "963662",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula J. Heller, LCSW, BCD
• Samantha Heller, LCSW
• Kathleen Frances Hempfling, M.S. CCC-SLP
• Naida Henriquez, DDS
• Heritage Medical Group, LLP
• Cristina Fi CHI Ho, MD
• Jillian Beth Hobson, PT
• Lillian Holder
• Sapphire Marie Holness
• Mark Carlin Homonoff, M.D.

• Specialist in Sleepy Hollow, NY
• Providers in Sleepy Hollow, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.