Sara Lis Herzberg, MD is a
Student In An Organized Health Care Education/training Program physician based in Newark, New Jersey. Sara Lis Herzberg is licensed to practice in * (Not Available) (license number ) and her current practice location is 183 S Orange Ave Ste F1560, Newark, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(973) 972-3606.
NPI number for Sara Lis Herzberg is 1831778638 and her current mailing address is 1775 Ballard Rd, Park Ridge, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831778638.
Physician's Profile
| Full Name | Sara Lis Herzberg |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 183 S Orange Ave Ste F1560, Newark, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831778638
- Provider Enumeration Date: 04/07/2021
- Last Update Date: 06/24/2022
Medical Identifiers
Medical identifiers for Sara Lis Herzberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831778638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 125.078092 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sara Lis Herzberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sara Lis Herzberg, MD
1775 Ballard Rd,
Park Ridge, IL 60068-1005
Ph: () - | Sara Lis Herzberg, MD
183 S Orange Ave Ste F1560,
Newark, NJ 07103-2757
Ph: (973) 972-3606 |
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