LEROY HERBERT, MD,PC
NPI 1649461757
Internal Medicine - Nephrology in New York, NY

Active since August 05, 2007
2615 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10030(212) 281-8200(718) 347-4643 Get Directions Write a Review

NPPES record last updated: November 16, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Leroy Herbert, Md,pc NPPES

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

LEROY HERBERT, MD,PC (NPI 1649461757) is a healthcare organization registered as a nephrology in New York, New York and active in the NPI registry since August 2007. The organization lists Leroy Herbert, President, as its authorized official.

NPPES Registry Identity

NPI1649461757
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameLEROY HERBERT, MD,PC
Location Address2615 FREDERICK DOUGLASS BLVDNew York, NY 10030-1705
Mailing Address35 Tulip Avenue, Po Box 20838Floral Park, NY 11002-0838 · (917) 862-5215 · Fax (718) 347-4643
Fax(718) 347-4643
Organization SubpartNo
Authorized OfficialLeroy HerbertPresident · (917) 862-5215
Enumeration DateAugust 5, 2007
Last NPPES UpdateNovember 16, 2010
✔ NPI 1649461757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 186982-1
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2615 FREDERICK DOUGLASS BLVD, New York, NY 10030

Other Identifiers 1

Medicare PINWU4741NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leroy Herbert, Md,pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Leroy Herbert, MD,pc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1285635953
2615 FREDERICK BLVD
New York, NY 10030
(212) 281-8200
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Leroy Herbert, Md,pc's NPI number?

The NPI number for Leroy Herbert, Md,pc is 1649461757. It was assigned to this organization in the NPPES registry on August 5, 2007.

Where is Leroy Herbert, Md,pc located?

Leroy Herbert, Md,pc is located at 2615 Frederick Douglass Blvd, New York, NY 10030. The listed phone number is (212) 281-8200.

What is Leroy Herbert, Md,pc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Leroy Herbert, Md,pc enrolled in Medicare?

Yes. Leroy Herbert, Md,pc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leroy Herbert, Md,pc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Leroy Herbert, Md,pc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Leroy Herbert, Md,pc was last updated on November 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.