Active NPI
Mark Herskovits, DO PD
- Diagnostic Radiology Physician
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 209110
- Practice address
- 8900 Van Wyck Expressway
Jamaica, NY 11418 - Phone
- (718) 206-7794
- Fax
- (718) 206-6145
- NPI assigned
- Mar 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 209110 | NY | Primary |
Addresses
Primary practice location
8900 Van Wyck Expressway
Jamaica, NY 11418
Mailing address
80 Marcus Dr
Melville, NY 11747-4230
Phone (631) 391-8366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H47691 | Medicaid | NY |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Heroes Way
Riverhead, NY 11901-2054
Phone (631) 548-6000
100 E 77TH St
New York, NY 10075-1850
101 Saint Andrews LN
Glen Cove, NY 11542-2254
Phone (631) 675-4550
10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000
111 E 77TH St
New York, NY 10075-1850
Phone (212) 434-3966
1111 Marcus Ave
New Hyde Park, NY 11042-1034
1333 Heroes Way
Riverhead, NY 11901-2029
Phone (631) 727-2755
1333 Roanoke Ave
Riverhead, NY 11901-2029
Phone (631) 727-2755
221 Jericho Tpke
Syosset, NY 11791-4515
Phone (516) 496-2752
221 Jericho Turnpike
Syosset, NY 11791-4515
Phone (516) 496-6500
222 Elm St
West Hempstead, NY 11552-3253
Phone (516) 405-7000
270 Park Ave
Huntington, NY 11743-2787
Phone (631) 351-2356
27005 75TH Ave
New Hyde Park, NY 11040-1402
27005 76TH Ave GF
New Hyde Park, NY 11040-1402
Phone (718) 470-7501
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
301 E Main St
Bay Shore, NY 11706-8408
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
400 E Main St
Mount Kisco, NY 10549-3417
Phone (914) 666-1371
475 Seaview Ave
Staten Island, NY 10305-3436
Phone (212) 434-6980
496 County Rd
111 BLDG F1
Manorville, NY 11949-3388
Phone (631) 405-3240
496 County Rd 111
Manorville, NY 11949-3386
Phone (631) 405-3220
611 Northern Blvd
Great Neck, NY 11021-5207
Phone (718) 683-3766
611 Northern Boulevard
Suite 250
Great Neck, NY 11021-5207
Phone (516) 233-3456
Hospital & facility affiliations
- NS/Lij HS Southside Hospital
- John T Mather Memorial Hospital of Port Jefferson
- Long Island Jewish Medical Center
- North Shore University Hospital
- NS/Lij HS Huntington Hospital
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
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamaica Hospital | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Southside Faculty Medical Affiliates University Faculty Practice Corp | Current | Accepting new patients | |
| Brooklyn Radiology Services PC | Diagnostic Radiology | Past | Accepting new patients |
| North Shore Radiology at Glen Cove PC | Past | Accepting new patients |
Locations
506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
100 Community Dr
Great Neck, NY 11021
Phone (516) 365-1805
611 Northern Blvd
Great Neck, NY 11021
Phone (516) 325-7000
1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242
80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889
27005 76th Ave
North New Hyde Pk, NY 11040
300 Community Dr
Plandome, NY 11030
9525 Queens Blvd
Frnt 2
Rego Park, NY 11374
Phone (718) 360-5522
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
1220 Hicksville Rd
Seaford, NY 11783
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- mherskovits68565@northwell.direct-ci.com
Organizations & group practices 6
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Body Imaging Physician
- Seaford, NY
- NPI 1033791058
-
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
-
- Skilled Nursing Facility
- Jamaica, NY
- NPI 1750516795
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1699724260
-
- Body Imaging Physician
- Glen Cove, NY
- NPI 1003024662
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntington, NY
- NPI 1508845322
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1093718728
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Bay Shore, NY
- NPI 1457369381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359676800000",
"number": "1982664934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 MARCUS DR",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474230",
"telephone_number": "631-391-8366",
"fax_number": "631-454-4163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 VAN WYCK EXPRESSWAY",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11418",
"telephone_number": "718-206-7794",
"fax_number": "718-206-6145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERSKOVITS",
"first_name": "MARK",
"credential": "DO PD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2013-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "209110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H47691",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.