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DR. JOSEPH E HERRERA D.O.
NPI 1457397606
Physical Medicine & Rehabilitation - Pain Medicine in New York, NY

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
BOX 1240B, 5 E. 98TH STREET 6TH FLOOR, NEW YORK, NY 10029(212) 241-9469(212) 369-6389 Get Directions Write a Review

NPPES record last updated: April 13, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Joseph E Herrera D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSEPH E HERRERA D.O. (NPI 1457397606) is an individual pain medicine provider in New York, New York, licensed in New York (222712) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of Rutgers New Jersey Medical School (2000).

NPPES Registry Identity

NPI1457397606
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameDR. JOSEPH E HERRERACredential: D.O.
Location AddressBOX 1240B, 5 E. 98TH STREET 6TH FLOORNew York, NY 10029
Mailing AddressBox 1240b, 5 E. 98th Street 6th FloorNew York, NY 10029 · (212) 241-9469 · Fax (212) 369-6389
Phone(212) 241-9469
Fax(212) 369-6389
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2000
Enumeration DateJune 22, 2006
Last NPPES UpdateApril 13, 2011
✔ NPI 1457397606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in NY · 222712
Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Also ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X · License 222712 (NY)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 222712 (NY)
Also ListedRehabilitation PractitionerTaxonomy 225400000X · License 222712-1 (NY)
BOX 1240B, New York, NY 10029
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Other Identifiers 3

Medicare UPINI36657NY
Medicare ID-Type Unspecified1241J1NY
Medicaid02677067NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joseph E Herrera D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618907163
PECOS Enrollment IDI20050816000087
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
129 services68 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
104 services12 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
48 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTJAN RAGNARSSON M.D.
Rehabilitation Practitioner
BOX 1240B, 5 E. 98TH STREET 6TH FLOOR
NEW YORK, NY 10029
New York County (212) 241-9469
THOMAS N BRYCE M.D.
Physical Medicine & Rehabilitation
BOX 1240B, 5 E. 98TH STREET 6TH FLOOR
NEW YORK, NY 10029
New York County (212) 241-9469

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Herrera's NPI number?

The NPI number for Joseph Herrera is 1457397606. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Joseph Herrera located?

Joseph Herrera practices at Box 1240B 5 E. 98th Street 6th Floor, New York, NY 10029. The listed phone number is (212) 241-9469.

What is Joseph Herrera's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Joseph Herrera enrolled in Medicare?

Yes. Joseph Herrera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Joseph Herrera affiliated with any hospitals?

According to CMS data, Joseph Herrera is affiliated with Mount Sinai Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Herrera was last updated on April 13, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.