Individual provider Active NPI

Henry Hirsch

  • Cardiovascular Disease Physician
  • Hallandale Beach, FL
National Provider Identifier
1881657914
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0019262 Issued in FL
Practice address
410 East Hallandale Beach Blvd
Chen Medical Hallandale, Inc
Hallandale Beach, FL 33009-5584
Phone
(954) 454-5777
Fax
(954) 924-0812
NPI assigned
Apr 10, 2006
Last updated
Jan 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME0019262 FL Primary

Addresses

Primary practice location

410 East Hallandale Beach Blvd
Chen Medical Hallandale, Inc
Hallandale Beach, FL 33009-5584

Mailing address

410 East Hallandale Beach Blvd
Chen Medical Hallandale, Inc
Hallandale Beach, FL 33009-5584
Phone (954) 454-5777

Other identifiers 1

IdentifierTypeStateIssuer
055553300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040902000753 FL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 0749170579 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0019262FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Biscayne Echo Associates Inc Cardiovascular Disease CurrentSince May 1, 1998 Accepting new patients
Memorial Ekg Associates PA Cardiovascular Disease CurrentSince Sep 1, 1993 Accepting new patients
Biscayne Ekg Associates Inc Cardiovascular Disease CurrentSince Jan 1, 1985 Accepting new patients

Locations

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1881657914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 EAST HALLANDALE BEACH BLVD",
            "address_2": "CHEN MEDICAL HALLANDALE, INC",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095584",
            "telephone_number": "954-454-5777",
            "fax_number": "954-924-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 EAST HALLANDALE BEACH BLVD",
            "address_2": "CHEN MEDICAL HALLANDALE, INC",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095584",
            "telephone_number": "954-454-5777",
            "fax_number": "954-924-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "HENRY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0019262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055553300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.