Organization Active NPI

Jacob Heyman,M,D., P.C.

  • Urology Physician
  • New York, NY
National Provider Identifier
1235406596
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
140674 Issued in NY
Legal business name
JACOB HEYMAN,M,D., P.C.
Practice address
109 E 38TH St
Ground FL
New York, NY 10016-2684
Phone
(212) 684-4900
Fax
(212) 684-3515
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Jacob H Heyman, M.D.
Title
President
Phone
(212) 684-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 140674 NY Primary

Addresses

Primary practice location

109 E 38TH St
Ground FL
New York, NY 10016-2684

Mailing address

109 E 38TH St
Ground FL
New York, NY 10016-2684
Phone (212) 684-4900

Other identifiers 1

IdentifierTypeStateIssuer
00767684MedicaidNY

National Provider Directory

National Provider Directory

Locations

109 E 38th St
New York, NY 10016
Phone (212) 684-4900

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1235406596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E 38TH ST",
            "address_2": "GROUND FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162684",
            "telephone_number": "212-684-4900",
            "fax_number": "212-684-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E 38TH ST",
            "address_2": "GROUND FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162684",
            "telephone_number": "212-684-4900",
            "fax_number": "212-684-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB HEYMAN,M,D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "HEYMAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-684-4900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "140674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00767684",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.