Jared Hertz DO PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JARED HERTZ DO PC

Practice address

700 Old Country Rd Ste 205
Plainview, NY 11803-4932

Phone

(631) 271-9151

NPI assigned

Mar 2, 2023

Organization subpart

No

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

Authorized official

Name

Jared Hertz, DONPI 1164782108

Title

Owner

Phone

(631) 271-9151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jared Adam Hertz, D.O.

  • Internal Medicine Physician
  • Babylon, NY
  • NPI 1164782108
  Medicare reassignment NPD Authorized official
• Philip D Degaetano, D.O.

  • Family Medicine Physician
  • West Islip, NY
  • NPI 1174810436
  Medicare reassignment NPD
• Saroj B Gulati, MD

  • Internal Medicine Physician
  • Queens Village, NY
  • NPI 1962457150
  NPD (past)
• Lee Pomeranz, M.D.

  • Specialist
  • Melville, NY
  • NPI 1518986298
  NPD (past)
• Vandana Kewel Soni, M.D

  • Neurology Physician
  • Plainview, NY
  • NPI 1316038730
  NPD (past)

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1881393452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OLD COUNTRY RD STE 205",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034932",
            "telephone_number": "631-271-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OLD COUNTRY RD STE 205",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034932",
            "telephone_number": "631-271-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED HERTZ DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "HERTZ",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-271-9151",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annmarie Jackson-Coyne, RN
• Ava Holly Jacobs
• Peggy H Jacobs, M.S.
• Shikha Jain, M.D.
• Patricia R Janson, PMHNP-BC
• Karen A Jason, PH.D.
• Madhavi Jaspal, OD
• Kristen Jata, OTR/L
• Javeria Jawaid
• Amrinder Jawandha, PA-C

• Internal Medicine Physician in Plainview, NY
• Providers in Plainview, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.