Organization Active NPI

Heritage Health Systems of New York, Inc.

  • Health Maintenance Organization
  • White Plains, NY
National Provider Identifier
1053822825
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
HERITAGE HEALTH SYSTEMS OF NEW YORK, INC.
Practice address
44 S Broadway
White Plains, NY 10601-4425
Phone
(800) 960-2530
NPI assigned
Oct 19, 2017
Last updated
Oct 19, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
WELLCARE HEALTH PLANS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Haber
Title
Secretary
Phone
(813) 206-1490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

44 S Broadway
White Plains, NY 10601-4425

Mailing address

44 S Broadway
White Plains, NY 10601-4425

National Provider Directory

National Provider Directory

Locations

44 S Broadway
White Plains, NY 10601
Phone (914) 768-8525

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1053822825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 S BROADWAY",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 S BROADWAY",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014425",
            "telephone_number": "800-960-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HEALTH SYSTEMS OF NEW YORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLCARE HEALTH PLANS, INC.",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "813-206-1490"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.