Individual provider Active NPI

Joseph Herskovic

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1891322251
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
405738 Issued in NY
Practice address
3839 Flatlands Ave Ste 200
Brooklyn, NY 11234-3534
Phone
(917) 905-9225
Fax
(718) 540-8454
NPI assigned
Mar 25, 2020
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 405738 NY
Family Nurse Practitioner 363LF0000X 345849 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405738 NY Primary

Addresses

Primary practice location

3839 Flatlands Ave Ste 200
Brooklyn, NY 11234-3534

Mailing address

1125 41St St
Brooklyn, NY 11218-1908
Phone (347) 370-2490

Other practice location 1

1125 41st St
Brooklyn, NY 11218-1908
Phone (347) 370-2490

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210219000874 NY Practitioner - Nurse Practitioner 2668887993 Reassigns benefits to 5 organizations
Practice locations: Woodmere, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1000 Central Ave
Woodmere, NY 11598-1233
Phone (347) 370-2490

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
72.13
Promoting interoperability
91
Improvement activities
40
Cost
75.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
345849NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
BP Immediate Medical Care, PC CurrentSince Apr 13, 2020 Accepting new patients
Josef Schenker MD PC CurrentSince Apr 23, 2021 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Jan 1, 2021 Accepting new patients
Comprehensive Family Health NP Services PC Family CurrentSince Jul 1, 2024 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients

Locations

3808 14th Ave
Brooklyn, NY 11218
Phone (718) 972-2424

4426 18th Ave
Brooklyn, NY 11204
Phone (718) 635-9700

7537 31st Ave
Flushing, NY 11370
Phone (929) 447-7513

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

6122 Fresh Pond Rd
Middle Vlg, NY 11379
Phone (718) 502-3000

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

2960 Victory Blvd
Staten Island, NY 10314
Phone (718) 370-2014

1008 Central Ave
Ste 1000
Woodmere, NY 11598
Phone (347) 370-2490

Philadelphia, PA 19195

Organizations & group practices 7

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1891322251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 41ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181908",
            "telephone_number": "347-370-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 FLATLANDS AVE STE 200",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343534",
            "telephone_number": "917-905-9225",
            "fax_number": "718-540-8454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 41st St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112181908",
            "country_code": "US",
            "telephone_number": "347-370-2490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERSKOVIC",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "405738",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345849",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.