Organization Active NPI

New York Heritage Medical Services PLLC

  • Vascular Surgery Physician
  • Rockville Centre, NY
National Provider Identifier
1104667849
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
NEW YORK HERITAGE MEDICAL SERVICES PLLC
Practice address
180 Sunrise Hwy
Rockville Centre, NY 11570-4711
Phone
(404) 242-9621
Fax
(856) 347-5157
NPI assigned
Jun 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Steve Odeh, MD
Title
Owner
Phone
(404) 242-9621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

180 Sunrise Hwy
Rockville Centre, NY 11570-4711

Mailing address

180 Sunrise Hwy
Rockville Centre, NY 11570-4711

National Provider Directory

National Provider Directory

Locations

600 W 163rd St
New York, NY 10032

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1104667849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SUNRISE HWY",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704711",
            "fax_number": "856-347-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 SUNRISE HWY",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704711",
            "telephone_number": "404-242-9621",
            "fax_number": "856-347-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK HERITAGE MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "ODEH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-242-9621",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.