DANIEL J HERERA M.D.
NPI 1164424958
Physical Medicine & Rehabilitation in Englewood, NJ
NPI Status: Active since August 11, 2005
Contact Information
106 GRAND AVE
SUITE 220
ENGLEWOOD, NJ
ZIP 07631
Phone: (201) 503-1900
Fax: (201) 503-1901
- Individual
- Male
- Physical Medicine & Rehabilitation
- PECOS Enrolled
About DANIEL HERERA
This page provides the complete NPI Profile along with additional information for Daniel Herera, a provider established in Englewood, New Jersey with a medical specialization in Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1164424958 assigned on August 2005. The practitioner's primary taxonomy code is 208100000X with license number 25MA07569100 (NJ). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1164424958
- Provider Name
- DANIEL J HERERA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 106 GRAND AVE SUITE 220 ENGLEWOOD, NJ 07631
- Location Phone
- (201) 503-1900
- Location Fax
- (201) 503-1901
- Mailing Address
- 59 CHURCH ST. ALPINE, NJ 07620
- Mailing Phone
- (201) 784-6012
- Mailing Fax
- (201) 503-1901
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-11-2005
- Last Update Date
- 07-07-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation
- Taxonomy Code
- 208100000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA07569100
- License State
- NJ
- Taxonomy Description
- Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| U18143 | MEDICARE UPIN (02) | NJ | |
| 679009C3J | MEDICARE PIN (08) | NJ | |
| 3349241 | OTHER (01) | NJ | AETNA/USHC# |
| 0465J1 | OTHER (01) | NJ | EMPIRE HC (HP) # |
| 0465J2 | OTHER (01) | NJ | EMPIRE HC (TE) # |
| 2836424000 | OTHER (01) | NJ | AMERIHEALTH # |
| 0465J3 | OTHER (01) | NJ | EMPIRE HC (NV) # |
| P00040428 | OTHER (01) | NJ | RAILROAD MDCR # |
| 2K7331 | OTHER (01) | NJ | HEALTHNET# |
| P3005063 | OTHER (01) | NJ | OXFORD# |
| 7757464 | OTHER (01) | NJ | AETNA# |
Medicare Participation & PECOS Enrollment Status
Daniel Herera is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Hospital Beds (DB000N)
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Wheelchairs (DD000N)
Standard wheelchair (HCPCS:K0001)
2 DME suppliers used 26 Medicare Claims 26 Services Paid
DME-Wheelchairs (DD000N)
Lightweight wheelchair (HCPCS:K0003)
1 DME suppliers used 20 Medicare Claims 20 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up nursing facility visit per day, typically 15 minutes
Follow-up nursing facility visit per day, typically 25 minutes
Initial nursing facility visit per day, typically 35 minutes
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
This service was performed 207 times for 40 patientsA follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
This service was performed 34 times for 17 patientsAn initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
This service was performed 41 times for 39 patientsReviews for DANIEL J HERERA M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164424958, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164424958, enumerated as an "individual" on August 11, 2005.
The provider is located at 106 GRAND AVE SUITE 220 ENGLEWOOD, NJ 07631 and the phone number is (201) 503-1900.
Physical Medicine & Rehabilitation with taxonomy code 208100000X.
The provider might be accepting Accepts: Medicare, Medicaid, Aetna, AmeriHealth and Oxford. Please consult your insurance carrier or call the provider to verify.
