Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Robert Herzog Herzog

Individual provider Acute Care Nurse Practitioner · NPI 1447026042

Robert Herzog Herzog is a Nurse Practitioner in Ledgewood, New Jersey. Qualified in 2023, 3 years ago. Practices with Atlantic Brain and Spine LLC, a 26-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2023

Practice location Address checks out

3 Kilmer Ct
Ledgewood, NJ 07852-2303
Phone: (973) 769-6624
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 26NJ14962800 (NJ)

Record details

NPI number1447026042
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 27, 2023
Last updated in NPPESNovember 27, 2023
Certification dateOctober 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Atlantic Brain And Spine Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount