Active NPI
Amy Beth Herskowitz, DPM
- Foot Surgery Podiatrist
- Cherry Hill, NJ
National Provider Identifier
1780656389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- MDO2084
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4996003 | Medicaid | NJ |
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 |
|---|---|---|---|
| MDO2084 | NJ | MD | Foot 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.