Active NPI
Eugene George Herman, DMD
- Oral & Maxillofacial Surgery (D.M.D.)
- Rockville Centre, NY
National Provider Identifier
1912014010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 032691-1
- Practice address
- 77 N Centre Ave
Ste 303
Rockville Centre, NY 11570-3923 - Phone
- (516) 766-3330
- Fax
- (516) 766-3563
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 032691-1 | NY | Primary |
Addresses
Primary practice location
77 N Centre Ave
Ste 303
Rockville Centre, NY 11570-3923
Mailing address
77 N Centre Ave
Ste 303
Rockville Centre, NY 11570-3923
Phone (516) 766-3330
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130740146 | Other | NY | ADA |
| 00304765 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032691-1 | NY | MD | Oral & Maxillofacial Surgery (D.M.D.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343001600000",
"number": "1912014010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 N CENTRE AVE",
"address_2": "STE 303",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115703923",
"telephone_number": "516-766-3330",
"fax_number": "516-766-3563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 N CENTRE AVE",
"address_2": "STE 303",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115703923",
"telephone_number": "516-766-3330",
"fax_number": "516-766-3563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "EUGENE",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2012-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "NY",
"license": "032691-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADA",
"identifier": "130740146",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00304765",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.