Individual provider Active NPI

Jonathan Hertz

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1881747152
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
239713 Issued in NY
Practice address
920 48TH St
Brooklyn, NY 11219-2918
Phone
(718) 283-8497
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 239713 NY Primary

Addresses

Primary practice location

920 48TH St
Brooklyn, NY 11219-2918

Mailing address

117 Clark St
Glen Ridge, NJ 07028-2217
Phone (646) 241-5955

Other practice location 1

110 Grove Ave
Cedar Grove, NJ 07009-1436
Phone (646) 241-5955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151116001626 NY Practitioner - Psychiatry 8820014160 Reassigns benefits to 3 organizations
I20180522000313 NJ Practitioner - NeurologyPractitioner - Psychiatry 8820014160 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
Tufts University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MPV New Jersey MD Services PCGroup PAC ID 5991097669, 146 clinicians
MCCD New Jersey Psychiatry Services LLCGroup PAC ID 8921452350, 54 clinicians

Practice addresses (Care Compare)

1 Bay Ave
Montclair, NJ 07042-4837
Phone (201) 781-1387

53 Frontage Rd
Hampton, NJ 08827-4031
Phone (833) 351-8255

Hospital & facility affiliations

  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as virtual group
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Department of Psychiatry FPP Psychiatry CurrentSince Sep 16, 2015 Accepting new patients
MCCD New Jersey Psychiatry Services LLC Psychiatry CurrentSince Jul 19, 2023 Accepting new patients
Subacute Medical Associates Psychiatry CurrentSince Apr 16, 2018 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Sep 16, 2015 Accepting new patients
Maimonides Medical Center Current Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Feb 15, 2022 Accepting new patients
MPV New Jersey MD Services PC CurrentSince Apr 1, 2024 Accepting new patients
MPV New Jersey MD Services PC CurrentSince Apr 1, 2024 Accepting new patients
Anesthesiology Associates of Boro Park, LLP Past Accepting new patients
Runnells BH Operating LLC Past Accepting new patients
Montclair Hospital LLC Past Accepting new patients
Mount Auburn Hospital Past Accepting new patients
MMC OB-GYN Faculty Practice Plan Past Accepting new patients

Locations

110 Grove Ave
Cedar Grove, NJ 07009
Phone (973) 571-6600

53 Frontage Rd
Fl 1
Hampton, NJ 08827
Phone (908) 386-2572

525 Route 73 N
Ste 117
Marlton, NJ 08053
Phone (609) 200-0444

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

4802 10th Ave
#C
Brooklyn, NY 11219
Phone (718) 283-8163

920 48th St
Brooklyn, NY 11219
Phone (718) 283-7800

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

Interoperability endpoints

  • Direct secure messaging: jonathanhertz@mai.allscriptsdirect.net
  • Direct secure messaging: jhertz265799@ahs.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1881747152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CLARK ST",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070282217",
            "telephone_number": "646-241-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 48TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192918",
            "telephone_number": "718-283-8497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Cedar Grove",
            "state": "NJ",
            "postal_code": "070091436",
            "country_code": "US",
            "telephone_number": "646-241-5955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERTZ",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "239713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.