Active NPI
New York Heritage Medical Services PLLC
- Vascular Surgery Physician
- Rockville Centre, NY
National Provider Identifier
1104667849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 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 DirectoryLocations
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
- Casey Nelson, RN
- David B Nelson, M.D.
- Neurological Surgery Practice of Long Island PLLC
- New Faith Chiropractic PC
- New York Allied Medical Services PLLC
- New York Physical and Occupational Therapy PLLC
- New York Physical Therapy and Occupational Therapy PLLC
- Lisa Zakiya Newland, LCSW-R
- Nexus Rehab Occupational Therapy PLLC
- Yehuda Nezaria, D.P.M.
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.