Individual provider Active NPI

Gregory Edward Herman, M.D.

  • Family Medicine Physician
  • Marmora, NJ
National Provider Identifier
1760465603
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA67166 Issued in NJ
Practice address
4 W Roosevelt Blvd Ste 11
Marmora, NJ 08223-1441
Phone
(609) 814-9550
Fax
(609) 814-9544
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA67166 NJ Primary

Addresses

Primary practice location

4 W Roosevelt Blvd Ste 11
Marmora, NJ 08223-1441

Mailing address

4 W Roosevelt Blvd Ste 11
Marmora, NJ 08223-1441
Phone (609) 814-9550

Other identifiers 1

IdentifierTypeStateIssuer
7872208MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20041029000129 NJ Practitioner - General PracticePractitioner - Family Practice 0042272338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shore Memorial Physicians Group PCGroup PAC ID 4688845191, 25 clinicians

Practice addresses (Care Compare)

4 W Roosevelt Blvd
Marmora PCP
Marmora, NJ 08223-1441
Phone (609) 814-9550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA67166NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Memorial Physicians Group PC Family Medicine CurrentSince Apr 22, 2024 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince May 1, 2022 Accepting new patients
Tri-County Cardiovascular Services, PC PastSince Dec 22, 2011 Accepting new patients

Locations

4 W Roosevelt Blvd
Ste 11
Marmora, NJ 08223
Phone (609) 814-9550

4 W Roosevelt Blvd
#11
Marmora, NJ 08223

4 W Roosevelt Blvd
Marmora, NJ 08223
Phone (609) 365-6202

2605 Shore Rd
Northfield, NJ 08225
Phone (609) 365-5300

1645 Haven Ave
Ste C
Ocean City, NJ 08226
Phone (609) 399-6263

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4024/brand/1/csg/22/fhir/r4
  • Direct secure messaging: gregory.herman.1@4024.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1760465603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W ROOSEVELT BLVD STE 11",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231441",
            "telephone_number": "609-814-9550",
            "fax_number": "609-814-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W ROOSEVELT BLVD STE 11",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231441",
            "telephone_number": "609-814-9550",
            "fax_number": "609-814-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "GREGORY",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA67166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7872208",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marmora, NJ

Sources for this page

Verify at the official NPI Registry.