Active NPI
Darrell Hercules, PA-C
- Physician Assistant
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 017449
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
- dhercules563638@nychhc.direct-ci.com
- 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.
-
- Urgent Care Clinic/Center
- Rockville Centre, NY
- NPI 1679970891
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.