Douglas J Vander Heide MDPC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

131230 Issued in NY

Legal business name

DOUGLAS J VANDER HEIDE MDPC

Practice address

7 E 85TH St Apt G
New York, NY 10028-0440

Phone

(212) 772-6443

NPI assigned

Mar 15, 2006

Organization subpart

No

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

Authorized official

Name

Douglas J Van Der Heide

Title

Sole Proprieter

Phone

(212) 772-6443

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1205805934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E 85TH ST",
            "address_2": "5A",
            "city": "NYC",
            "state": "NY",
            "postal_code": "100280412",
            "telephone_number": "212-772-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 E 85TH ST APT G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280440",
            "telephone_number": "212-772-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS J VANDER HEIDE MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "VAN DER HEIDE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "212-772-6443"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "131230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00509673",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Allen, DO PC
• Douglas B. Friedrich, MD, P. C.
• Douglas B. Friedrich, MD, P.C.
• Douglas B. Seckendorf DC PC
• Douglas H Bailyn, MD, PC
• Douglas J. Van Der Heide, M.D. LLP
• Douglas Psychotherapy Services, LCSW, PC
• Barbara Douglas-Lindo, EDM
• Angela Douglas-Staley, RN, NP
• Barbara V Douglas, PT

• Legal Medicine in New York, NY
• Providers in New York, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.