Individual provider Active NPI

Edith Michelle Herrera

  • Physical Therapist
  • Stony Brook, NY
National Provider Identifier
1831079243
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
054903-01 Issued in NY
Practice address
2500 Nesconset Hwy BLDG 22B
Stony Brook, NY 11790-2598
Phone
(631) 751-7988
NPI assigned
Sep 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 054903-01 NY Primary

Addresses

Primary practice location

2500 Nesconset Hwy BLDG 22B
Stony Brook, NY 11790-2598

Mailing address

2500 Nesconset Hwy BLDG 22B
Stony Brook, NY 11790-2598
Phone (631) 751-7988

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
I20260407002137 NY Practitioner - Physical Medicine and Rehabilitation 8022583087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
State University of New York at Stony Brook, School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Mosca Physical Therapy PLLCGroup PAC ID 5890010979, 4 clinicians

Practice addresses (Care Compare)

2500 Nesconset Hwy
BLDG 22B
Stony Brook, NY 11790-2598
Phone (631) 751-7988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054903-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Mosca Physical Therapy, PLLC Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients
North Island Physical Therapy, PC CurrentSince Sep 8, 2025 Accepting new patients

Locations

2500 Nesconset Hwy
Bldg 22B
Stony Brook, NY 11790
Phone (631) 751-7988

Organizations & group practices 2

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": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1831079243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 22B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902598",
            "telephone_number": "631-751-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 22B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902598",
            "telephone_number": "631-751-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "EDITH",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054903-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.