Organization Active NPI

Heritage Physicians Services

  • Addiction Medicine (Internal Medicine) Physician
  • Jupiter, FL
National Provider Identifier
1245733385
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
ME57874 Issued in FL
Legal business name
HERITAGE PHYSICIANS SERVICES
Practice address
600 Heritage Dr Ste 130B
Jupiter, FL 33458-3000
Phone
(561) 701-3896
NPI assigned
Mar 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Authorized official

Name
Michael J Kenny
Title
Owner
Phone
(888) 828-8251

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH13843 FL
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X ME57874 FL Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA9104027 FL

Addresses

Primary practice location

600 Heritage Dr Ste 130B
Jupiter, FL 33458-3000

Mailing address

PO Box 780
Jupiter, FL 33468-0780

Other names 1

  • Heritage Physicians Services Doing business as

National Provider Directory

National Provider Directory

Locations

600 Heritage Dr
Ste 130B
Jupiter, FL 33458
Phone (561) 701-3896

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1245733385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334680780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HERITAGE DR STE 130B",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583000",
            "telephone_number": "561-701-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PHYSICIANS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "KENNY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-828-8251"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13843",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME57874",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Physicians Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.