Active NPI
Heritage Physicians Services
- Addiction Medicine (Internal Medicine) Physician
- Jupiter, FL
National Provider Identifier
1245733385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- ME57874
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH13843 | FL | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | ME57874 | FL | Primary |
| Physician Assistant | 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
National Provider Directory
National Provider DirectoryLocations
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.