Individual provider Active NPI

Mordechai Herman, FNP-C

  • General Practice Physician
  • Jackson, NJ
National Provider Identifier
1811849540
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
359009 Issued in NY
Practice address
226 Delaware TRL
Jackson, NJ 08527-2026
Phone
(347) 842-7661
NPI assigned
Feb 13, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 359009 NY Primary

Addresses

Primary practice location

226 Delaware TRL
Jackson, NJ 08527-2026

Mailing address

226 Delaware TRL
Jackson, NJ 08527-2026
Phone (347) 842-7661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20260424002232 NY Practitioner - Nurse Practitioner 4082181292 Reassigns benefits to 1 organization
I20260425000219 CT Practitioner - Nurse Practitioner 4082181292 Reassigns benefits to 1 organization
I20260604001989 NJ Practitioner - Nurse Practitioner 4082181292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

194 Cresthill Ave
Clifton, NJ 07012-1513

226 Delaware TRL
Jackson, NJ 08527-2026

250 Skillman St
Suite 204
Brooklyn, NY 11205-1218

250 Skillman St
Suite 204
Brooklyn, NY 11205-4812

831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
359009NYMDGeneral Practice Physician

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.

NPI Registry JSON

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

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1811849540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 DELAWARE TRL",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272026",
            "telephone_number": "347-842-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 DELAWARE TRL",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272026",
            "telephone_number": "347-842-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "MORDECHAI",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "359009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

Verify at the official NPI Registry.