DR. ROBERT HERZOG JR. (NPI# 1063595049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063595049 |
| Entity Type | Individual |
| Full Name | DR. ROBERT HERZOG JR. |
| Credential | DDS |
| Practice Address |
651 Delaware Ave Albany NY 12209 |
| Practice Telephone | 5784272447 |
| Practice Fax Number | 5784277346 |
| Mailing Telephone | 5784272447 |
| Mailing Fax Number | 5784277346 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0464251 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE SHIELD | 000460352001 | 01 |
| NY | CDPHP | 10058818 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902963614 | Robert Herzog | Physician Assistant | 2601 W Main St, Carbondale, IL 62901-1031 | 2007-01-02 |
| 1942399951 | Robert Joseph Herzog | Dentist | 2727 Main St, Buffalo, NY 14214-2018 | 2006-10-11 |
| Street Address |
651 DELAWARE AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386727626 | William G Primomo | Dentist | 651 Delaware Ave, Albany, NY 12209 | 2006-10-23 |
| 1194807487 | Primomo and Herzog Dds | Dentist | 651 Delaware Ave, Albany, NY 12209 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356993968 | Shanta Ienee Pointer | Licensed Practical Nurse | 337 Second Avenue, Albany, NY 12209 | 2019-07-13 |
| 1396266011 | 24 Seven Medical Transportation Inc | Non-emergency Medical Transport (VAN) | 13 Beekman Street, Albany, NY 12209 | 2017-07-03 |
| 1255852554 | Taisha Dejesus | Taxi | 17 Oneida Terrance, Albany, NY 12209 | 2017-06-28 |
| 1205385218 | Shirley Jean Bolden | Licensed Practical Nurse | 3 Beekman St., Albany, NY 12209 | 2016-10-03 |
| 1285069492 | Chandra Wells | Speech-Language Pathologist | 33 Betwood St, Albany, NY 12209 | 2013-09-06 |
| 1790061406 | Olive Farooq | Registered Nurse | 100 Elbel Ct, Albany, NY 12209 | 2011-10-26 |
| 1982988184 | Susan Daniels | Social Worker | 100 Elbel Court, Myers Middle School, Albany, NY 12209 | 2011-10-06 |
| 1679725535 | Alyssa Catharine Lotmore | Social Worker | 102 Hackett Blvd., Albany, NY 12209 | 2008-10-22 |
| 1255497707 | Kimberly Ann Kilby | Family Medicine | 25 Hackett Blvd # Mc133, Albany, NY 12209 | 2006-12-29 |
| 1427158880 | Eckerd Corporation | Pharmacy | 493 Delaware Avenue, Albany, NY 12209 | 2006-09-25 |
| Find all providers in zip 12209 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265054175 | Members Plus Dental, LLC | Dentist | 2220 9th Ave Se Ste B, Albany, OR 97322-5000 | 2020-05-13 |
| 1528590064 | Priscila Lee | Dentist | 727 San Pablo Ave, Albany, CA 94706 | 2017-04-03 |
| 1447628516 | Ashley Chan | Dentist | 545 Pierce St Apt 1109, Albany, CA 94706-1048 | 2015-09-08 |
| 1174918031 | Ru-mee Han | Dentist | 12 California Ave, Apt. B510, Albany, NY 12205-2850 | 2015-03-30 |
| 1629470919 | St. Peter's Hospitalof The City of Albany | Dentist | 1092 Madison Avenue, Albany, NY 12208-2248 | 2014-09-18 |
| 1437563475 | Michael James Cox | Dentist | 602 Pointe North Blvd, Albany, GA 31721-1513 | 2014-06-18 |
| 1447693064 | Ross Henry Thomas IIi | Dentist | 473 Kingswood Ct, Albany, GA 31707-3062 | 2013-04-12 |
| 1154663573 | Robert Michael Deitz | Dentist | 272 New Scotland Ave, Albany, NY 12208-3116 | 2013-03-24 |
| 1952655581 | Mh Orthodontics | Dentist | 1030 W Gordon Ave Ste A, Albany, GA 31701-4515 | 2012-11-05 |
| 1902152861 | John Frank Rymanowski | Dentist | 3 Birch Hill Rd, Albany, NY 12211-2003 | 2012-07-30 |
| Find all providers in ALBANY | ||||
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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.