Individual provider Active NPI

Darrell Hercules, PA-C

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1922425339
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
017449 Issued in NY
Practice address
2325 Foster Ave
Apt B7
Brooklyn, NY 11210
Phone
(917) 612-5570
NPI assigned
Mar 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 017449 NY Primary

Addresses

Primary practice location

2325 Foster Ave
Apt B7
Brooklyn, NY 11210

Mailing address

2325 Foster Ave
Apt B7
Brooklyn, NY 11210-1155
Phone (917) 612-5570

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
I20160819000365 NY Practitioner - Physician Assistant 8628363314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Practice addresses (Care Compare)

1 Miller PL
Smithtown, NY 11787-3629
Phone (631) 604-4024

1332 Peninsula Blvd
Hewlett, NY 11557-1226
Phone (516) 531-6130

19 W Jericho Tpke
Huntington Station, NY 11746-3627
Phone (631) 604-4022

1950 Jericho Tpke
East Northport, NY 11731-6207
Phone (631) 238-3065

2079 Smith Haven PLZ
Lake Grove, NY 11755-1209
Phone (631) 315-6758

377 S Oyster Bay Rd
Plainview, NY 11803-3323
Phone (516) 537-9061

434 Union Blvd
West Islip, NY 11795-3104
Phone (516) 537-9063

5145 Nesconset Hwy
Suite 4
Port Jefferson Station, NY 11776-2118
Phone (347) 493-2945

527 Boulevard E
Yaphank, NY 11980-7512
Phone (631) 504-0427

98 Jericho Tpke
Commack, NY 11725-3009
Phone (631) 387-4355

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: dhercules563638@nychhc.direct-ci.com
  • Direct secure messaging: darrell.hercules@ghuc.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1922425339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 FOSTER AVE",
            "address_2": "APT B7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112101155",
            "telephone_number": "917-612-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 FOSTER AVE",
            "address_2": "APT B7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11210",
            "telephone_number": "917-612-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERCULES",
        "first_name": "DARRELL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.