DR. JERALD BRUCE HERSHMAN (NPI# 1699783019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699783019 |
| Entity Type | Individual |
| Full Name | DR. JERALD BRUCE HERSHMAN |
| Credential | M.D. |
| Practice Address |
1 Demercurio Dr Allendale NJ 07401-1717 |
| Mailing Address |
One Demercurio Dr Allendale NJ 07401 |
| Practice Telephone | 2013271800 |
| Practice Fax Number | 2013277747 |
| Mailing Telephone | 2013271800 |
| Mailing Fax Number | 2013277747 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2014-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 25MA039939 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0399604 | 05 |
| Street Address |
1 DEMERCURIO DR |
| City | ALLENDALE |
| State | NJ |
| Zip Code | 07401-1717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902830698 | Christine Zic Calton | Physical Therapist | 1 Demercurio Dr, Suite 5, Allendale, NJ 07401-1717 | 2006-07-10 |
| 1972711380 | Susanna Eun | Acupuncturist | 1 Demercurio Dr, Suite 2, Allendale, NJ 07401-1717 | 2007-05-18 |
| 1942344999 | Maryam Safai | Dentist | 1 Demercurio Dr, Allendale, NJ 07401-1717 | 2007-02-15 |
| 1629096813 | Dana Costello | Physical Therapist | 1 Demercurio Dr, Suite 5, Allendale, NJ 07401-1717 | 2006-07-17 |
| 1851325443 | Dcd Therapy Services | Clinic/Center | 1 Demercurio Dr, Suite 5, Allendale, NJ 07401-1717 | 2006-07-10 |
| 1992739585 | Debbie Macdonald | Physical Therapist | 1 Demercurio Dr, Suite 5, Allendale, NJ 07401-1717 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134603343 | Ediltruda N Kalikawe | Counselor | 400 Crescent Court, Allendale, NJ 07401 | 2018-09-24 |
| 1114356250 | Madalina Cornelia Mares | Physical Therapist | 49 W Allendale Ave, Allendale, NJ 07401 | 2013-11-08 |
| 1992942155 | Matthew A. Rocco | Dentist | 70 W Allendale Avenue, Allendale, NJ 07401 | 2009-01-09 |
| 1366564601 | Mary Ellen M Stiehl | Counselor | 175 E Crescent Ave, Allendale, NJ 07401 | 2007-04-06 |
| 1851431530 | Lore Denver Basil | Social Worker | 33 W Orchard St, Allendale, NJ 07401 | 2007-02-08 |
| 1790823961 | Theodore A Campbell Jr. | Chiropractor | 1 Demercurio Drive, Suite #8, Allendale, NJ 07401 | 2007-02-01 |
| 1699830190 | F James Obosky Sr. | Dentist | 70 West Allendale Av, Suite C, Allendale, NJ 07401 | 2006-12-26 |
| 1457455883 | Jill E Sieverts | Marriage & Family Therapist | 70 West Allendale Avenue, Suite A, Allendale, NJ 07401 | 2006-09-07 |
| 1962427526 | Great Atlantic & Pacific Tea Company Inc | Pharmacy | 45 Demercurio Drive, Allendale, NJ 07401 | 2006-07-13 |
| 1265809370 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 45 Demercurio Drive, Allendale, NJ 07401 | 2015-08-24 |
| Find all providers in zip 07401 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
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| 1932742533 | Alexandra Grace Cantelmo | General Practice | 170 Marketplace Blvd, Hamilton, NJ 08691-2103 | 2019-10-26 |
| 1477196707 | Dragonfly Health | General Practice | 151 Fries Mill Rd Ste 104, Turnersville, NJ 08012-2056 | 2019-10-18 |
| 1639711500 | Health Focus Agency | General Practice | 201 Laurel Creek Blvd, Moorestown, NJ 08057-3965 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
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| 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.