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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 172295 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01195353 | 05 |
| 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 |
| Street Address |
1855 RICHMOND AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-3909 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| 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. |
| 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 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
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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.