Organization Active NPI

Peter J Heffer MDPC

  • Cardiovascular Disease Physician
  • Flushing, NY
National Provider Identifier
1083813836
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PETER J HEFFER MDPC
Practice address
142 07 Booth Mem Ave
Flushing, NY 11355-5343
Phone
(718) 961-5722
Fax
(718) 321-3099
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Mrs. Debra Marie Strock
Title
Medical Biller
Phone
(718) 961-5722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

142 07 Booth Mem Ave
Flushing, NY 11355-5343

Mailing address

14207 Booth Memorial Ave
Flushing, NY 11355-5343
Phone (718) 961-5722

Other identifiers 1

IdentifierTypeStateIssuer
00884973MedicaidNY

National Provider Directory

National Provider Directory

Locations

14207 Booth Memorial Ave
Flushing, NY 11355
Phone (347) 541-7545

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1083813836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14207 BOOTH MEMORIAL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555343",
            "telephone_number": "718-961-5722",
            "fax_number": "718-321-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 07 BOOTH MEM AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555343",
            "telephone_number": "718-961-5722",
            "fax_number": "718-321-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J HEFFER MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "STROCK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "718-961-5722",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00884973",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.