Individual provider Active NPI

Henock Saint-Jacques, MD

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1144207275
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
219132 Issued in NY
Practice address
1787 Madison Ave
Suite 50C
New York, NY 10035-4518
Phone
(212) 348-9400
Fax
(212) 348-9405
NPI assigned
Dec 29, 2005
Last updated
Oct 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 219132 NY
Cardiovascular Disease Physician 207RC0000X 219132 NY Primary

Addresses

Primary practice location

1787 Madison Ave
Suite 50C
New York, NY 10035-4518

Mailing address

PO Box 1170
New York, NY 10035-0825
Phone (212) 348-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401001742 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9133111727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urban Health Plan IncGroup PAC ID 3173517281, 158 clinicians
Heritage Health and Housing, Inc.Group PAC ID 2163331620, 20 clinicians

Practice addresses (Care Compare)

1065 Southern Blvd
Bronx, NY 10459-2417
Phone (718) 589-2440

1727 Amsterdam Ave
New York, NY 10031-4611

1727 Amsterdam Ave FL
Suite 4
New York, NY 10031-4611

1787 Madison Ave
Suite 50C
New York, NY 10035-4518
Phone (212) 348-9400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Health Plan, Inc. CurrentSince Nov 22, 2024 Accepting new patients
Urban Health Plan, Inc. CurrentSince Nov 22, 2024 Accepting new patients
New York Cardiovascular Specialist PC Cardiovascular Disease CurrentSince Jan 23, 2006 Accepting new patients
Heritage Health and Housing, Inc Past Accepting new patients

Locations

1065 Southern Blvd
Bronx, NY 10459
Phone 71858924404222

1515 Southern Blvd
#H
Bronx, NY 10460
Phone (718) 589-1600

1789 Madison Ave
New York, NY 10035
Phone (212) 348-6001

1827 Madison Ave
New York, NY 10035
Phone (212) 423-4700

1879 Madison Ave
New York, NY 10035
Phone (212) 423-4000

1879 Madison Ave
Fl 6
New York, NY 10035
Phone (212) 423-4117

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFGICD/Endpoint/AFGICD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1144207275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1170",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100350825",
            "telephone_number": "212-348-9400",
            "fax_number": "212-348-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 MADISON AVE",
            "address_2": "SUITE 50C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100354518",
            "telephone_number": "212-348-9400",
            "fax_number": "212-348-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT-JACQUES",
        "first_name": "HENOCK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "219132",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "219132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.