DR. DAVID M HERZOG


Address: 1855 Richmond Ave, Staten Island, NY 10314-3909
Phone: 7187617212

DR. DAVID M HERZOG (NPI# 1487618468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487618468
Entity Type Individual
Full Name DR. DAVID M HERZOG
Credential M.D.
Practice Address 1855 Richmond Ave
Staten Island
NY 10314-3909
Practice Telephone 7187617212
Practice Fax Number 7183511693
Mailing Telephone 7187617212
Mailing Fax Number 7183511693
Enumeration Date 2006-04-14
Last Update Date 2013-06-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 172295 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01195353 05

Other Providers DAVID HERZOG

NPI Name Taxonomy Address Enumeration
1811978638 David Brandeis Herzog Pediatrics 2 Longfellow Pl, Suite 200, Boston, MA 02114-2437 2005-11-09
1205266384 David Herzog Psychologist 7522 221st Pl Sw, Edmonds, WA 98026-8029 2013-11-26
1093788374 David A Herzog Internal Medicine 1 Theall Rd, Rye, NY 10580-1404 2006-02-08

Office Location

Street Address 1855 RICHMOND AVE
City STATEN ISLAND
State NY
Zip Code 10314-3909

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285635565 Tamara Sibalic-mandic Internal Medicine 1855 Richmond Ave, Suite 102, Staten Island, NY 10314-3940 2005-08-09
1538717079 In Balance Physical Therapy, Pllc Clinic/Center 1855 Richmond Ave, Staten Island, NY 10314-3940 2019-08-28
1447732649 Audiology Services Company Usa, LLC Audiologist-Hearing Aid Fitter 1855 Richmond Ave, Staten Island, NY 10314-3940 2018-09-04
1760700843 Azalesha Abrahim Rodriguez Physician Assistant 1855 Richmond Ave, Staten Island, NY 10314-3940 2010-05-13
1477703130 Michael Hamlen Campanella Obstetrics & Gynecology 1855 Richmond Ave, Staten Island, NY 10314 2008-09-30
1033225370 David M Herzog Md PC Obstetrics & Gynecology 1855 Richmond Ave, Staten Island, NY 10314-3909 2006-08-21
1205876018 Richard Rouder, Dpm, PC Podiatrist 1855 Richmond Ave, Staten Island, NY 10314-3912 2006-06-08
1174574651 Gwenn Lentine Obstetrics & Gynecology 1855 Richmond Ave, Staten Island, NY 10314-3909 2006-05-12
1225098866 Saam A Miller Obstetrics & Gynecology 1855 Richmond Ave, Staten Island, NY 10314-3909 2006-03-27

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629540778 Olga Kheyson Md PC Obstetrics & Gynecology 3371 Richmond Ave Ste 1, Staten Island, NY 10312-2025 2018-12-28
1083984496 Gateway Ob/gyn Associates, P.C. Obstetrics & Gynecology 78 Cromwell Avenue, Staten Island, NY 10304 2012-01-03
1457650152 Bay Medical Care Services Pllc Obstetrics & Gynecology 42 Richmond Ter, 1st Floor, Staten Island, NY 10301-1909 2011-03-21
1790015998 Ellen Viloria Celis Obstetrics & Gynecology 100 Bradley Avenue, Staten Island, NY 10314 2010-01-11
1073748018 Noreen Kamal-mostafavi Obstetrics & Gynecology 3860 Victory Blvd Fl 1, Staten Island, NY 10314-6720 2009-05-20
1033252812 Qurratulain Tabassum Siddiqui Obstetrics & Gynecology 61 Rome Ave, Staten Island, NY 10304-4319 2007-02-14
1578602942 Ilham Alqaisi Obstetrics & Gynecology 83 Beebe St, Staten Island, NY 10301-4501 2007-02-05
1295884773 Pavlides & Benson Ob/gyn Associates, PC Obstetrics & Gynecology 2 Teleport Dr, Suite 207, Staten Island, NY 10311-1006 2007-01-10
1700952694 Marie L. Vartolo M.d.p.c. Obstetrics & Gynecology 450 Slosson Ave, Staten Island, NY 10314-5445 2006-11-24
1689696080 Michael A. Schirripa Obstetrics & Gynecology 4855 Hylan Blvd, Staten Island, NY 10312 2006-07-24
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City STATEN ISLAND
Zip Code 10314

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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