Individual provider Active NPI

Joel E Hershey, M.D.

  • Pediatrics Physician
  • Hauppauge, NY
National Provider Identifier
1760425649
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
124745 Issued in NY
Practice address
1 Kings Hwy
Hauppauge, NY 11788-4216
Phone
(631) 348-4900
Fax
(631) 348-0273
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 124745 NY Primary

Addresses

Primary practice location

1 Kings Hwy
Hauppauge, NY 11788-4216

Mailing address

1 Kings Hwy
Hauppauge, NY 11788-4216
Phone (631) 348-4900

Other names 1

  • Dr. Joel Erwin Hershey Other name

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
I20100701000054 NY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8820129133 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
124745NYMDPediatrics Physician

Networks

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

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1760425649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KINGS HWY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884216",
            "telephone_number": "631-348-4900",
            "fax_number": "631-348-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KINGS HWY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884216",
            "telephone_number": "631-348-4900",
            "fax_number": "631-348-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHEY",
        "first_name": "JOEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "124745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOEL",
            "last_name": "HERSHEY",
            "middle_name": "ERWIN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.