Individual provider Active NPI

Amy Beth Herskowitz, DPM

  • Foot Surgery Podiatrist
  • Cherry Hill, NJ
National Provider Identifier
1780656389
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
MDO2084 Issued in NJ
Practice address
1811 Haddonfield Berlin Rd
Cherry Hill, NJ 08003-3735
Phone
(856) 651-1800
Fax
(856) 848-4321
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X MDO2084 NJ Primary

Addresses

Primary practice location

1811 Haddonfield Berlin Rd
Cherry Hill, NJ 08003-3735

Mailing address

1811 Haddonfield Berlin Rd
Cherry Hill, NJ 08003-3735
Phone (856) 651-1800

Other practice location 1

722 Mantua Pike
suite 8
Woodbury Heights, NJ 08097-1141
Phone (856) 384-1333

Other practice location 2

2301 E Evesham Rd Ste 302
Voorhees, NJ 08043-4503
Phone (856) 770-1313

Other identifiers 1

IdentifierTypeStateIssuer
4996003MedicaidNJ

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

LicenseStateTypeSpecialty
MDO2084NJMDFoot Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1780656389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 HADDONFIELD BERLIN RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033735",
            "telephone_number": "856-651-1800",
            "fax_number": "856-848-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 HADDONFIELD BERLIN RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033735",
            "telephone_number": "856-651-1800",
            "fax_number": "856-848-4321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "722 Mantua Pike",
            "address_2": "suite 8",
            "address_purpose": "LOCATION",
            "city": "Woodbury Heights",
            "state": "NJ",
            "postal_code": "080971141",
            "country_code": "US",
            "telephone_number": "856-384-1333",
            "fax_number": "856-384-1297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 E Evesham Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434503",
            "country_code": "US",
            "telephone_number": "856-770-1313",
            "fax_number": "856-770-1297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERSKOWITZ",
        "first_name": "AMY",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "MDO2084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4996003",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.