Provider Demographics
NPI:1528053915
Name:HIRSCH, ADAM (DO)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:HIRSCH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E MAIN ST
Mailing Address - Street 2:NORTHERN WESTCHESTER HOSPITAL-MEDICAL AFFAIRS OFFICE
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3417
Mailing Address - Country:US
Mailing Address - Phone:914-666-1680
Mailing Address - Fax:914-666-1965
Practice Address - Street 1:400 E MAIN ST
Practice Address - Street 2:NORTHERN WESTCHESTER HOSPITAL
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3417
Practice Address - Country:US
Practice Address - Phone:914-666-1680
Practice Address - Fax:914-666-1965
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY232233207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
2590213OtherGHI PPO PROVIDER ID#
388169OtherMVP PROVIDER ID
10110708-U104OtherCDPHP PROVIDER & GRP ID #
P3506906OtherOXFORD HEALTH PROVIDER ID
3760623OtherAETNA - HMO PROVIDER ID
P00206151-DD0661OtherRAILROAD MEDICARE PIN#
0000000087400OtherGHI HMO PROVIDER ID #
033SE1OtherEMPIRE BCBS PROVIDER ID
060422000008OtherFIDELISCARE PROVIDER ID#
7223666OtherAETNA-PPO PROVIDER ID
3C5202OtherHEALTHNET-GRP PIN #
NY260AQEU121Medicare PIN
0000000087400OtherGHI HMO PROVIDER ID #
2590213OtherGHI PPO PROVIDER ID#
3C5202OtherHEALTHNET-GRP PIN #