DOUGLAS BENNET HERZLICH DPM PC (NPI# 1962553230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962553230 |
| Entity Type | Organization |
| Organization Name | DOUGLAS BENNET HERZLICH DPM PC |
| Practice Address |
1120 Morris Park Ave Bronx NY 10461-1400 |
| Mailing Address |
400 W 43rd St Apt 37m New York NY 10036-6302 |
| Practice Telephone | 7184091777 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DOUGLAS HERZLICH (SOLE PROPRIETER) |
| Authorized Official Telephone | 2125641544 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | N003749-1 | NY | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1120 MORRIS PARK AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10461-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346233673 | Lucille Regina Van Hook Spivack | Internal Medicine | 1120 Morris Park Ave, Suite 4a, Bronx, NY 10461-1400 | 2005-08-23 |
| 1215325899 | Advocate Bronx Foot Care | Podiatrist | 1120 Morris Park Ave, Suite 3b, Bronx, NY 10461-1400 | 2015-01-05 |
| 1225446768 | Joseph Lynn | Case Manager/Care Coordinator | 1120 Morris Park Ave, Ste. 2-b, Bronx, NY 10461-1400 | 2014-07-29 |
| 1164851580 | Jacqueline Pereira | Case Manager/Care Coordinator | 1120 Morris Park Ave, Suite 2b, Bronx, NY 10461-1400 | 2013-11-06 |
| 1760720429 | Keren Ferrer-quianes | Case Manager/Care Coordinator | 1120 Morris Park Ave, #2b, Bronx, NY 10461-1400 | 2013-01-30 |
| 1164776522 | Annmarie Mcglashan | Case Manager/Care Coordinator | 1120 Morris Park Ave, Bronx, NY 10461-1400 | 2012-11-06 |
| 1770845414 | Therapeutic Imprints | Case Management | 1120 Morris Park Ave, Suite 2b, Bronx, NY 10461-1400 | 2012-06-08 |
| 1225399389 | Anabel Mendoza | Case Manager/Care Coordinator | 1120 Morris Park Ave, Suite 2b, Bronx, NY 10461-1400 | 2012-06-06 |
| 1790046944 | Luz Gonzalez | Case Manager/Care Coordinator | 1120 Morris Park Ave, Bronx, NY 10461-1400 | 2012-06-05 |
| 1407117542 | Deena Marie Mauro-incognoli | Specialist | 1120 Morris Park Ave, Bronx, NY 10461-1400 | 2012-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839515 | Wright Podiatry Pllc | Podiatrist | 676 E 235th St, Bronx, NY 10466-2704 | 2020-07-30 |
| 1871001818 | Kevin Jonathan Roy | Podiatrist | 5958 Delafield Ave, Bronx, NY 10471-1608 | 2018-01-11 |
| 1326454877 | Faysal Eqbal Siddiqui | Podiatrist | 600 East 233 Street, Montefiore Medical Center, Bronx, NY 10466 | 2014-07-05 |
| 1134563885 | Venkata L Durbhaka | Podiatrist | 2024 Creston Avenue, Bronx, NY 10457-4244 | 2013-04-24 |
| 1205153624 | Perfect-foot and Ankle Specialist PC | Podiatrist | 825 Boynton Ave, Suite 1d, Bronx, NY 10473-4758 | 2010-04-24 |
| 1184948176 | Osman D Joasil | Podiatrist | 4334a White Plains Rd, Bronx, NY 10466-3098 | 2010-03-18 |
| 1700062999 | Louis W Jacobs | Podiatrist | 4240 Hutchinson River Pkwy E, 4240 Hutchinson River Pkwy East, Bronx, NY 10475-4746 | 2008-01-17 |
| 1578745261 | Michael Edward Korber | Podiatrist | 120 Gale Place, Apt 513, Bronx, NY 10463-2836 | 2007-12-04 |
| 1265554349 | David E Allan | Podiatrist | 493 E 138 St, Bronx, NY 10454 | 2007-04-06 |
| 1083782247 | Robert David Rampino | Podiatrist | Jacobi Hospital, Bronx, NY 10461 | 2006-12-04 |
| Find all providers in BRONX | ||||
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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.