Organization Active NPI

Heritage Park Orthopedics

  • Orthopaedic Surgery Physician
  • Lowell, MA
National Provider Identifier
1346387560
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35426 Issued in MA
Legal business name
HERITAGE PARK ORTHOPEDICS
Practice address
817 Merrimack St
Lowell, MA 01854-3571
Phone
(978) 452-9914
Fax
(978) 453-0069
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Dr. Victor A Conforti, MD
Title
President
Phone
(978) 452-9914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 35426 MA Primary

Addresses

Primary practice location

817 Merrimack St
Lowell, MA 01854-3571

Mailing address

817 Merrimack St
Lowell, MA 01854-3571
Phone (978) 452-9914

Other identifiers 1

IdentifierTypeStateIssuer
9769692MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1346387560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 MERRIMACK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543571",
            "telephone_number": "978-452-9914",
            "fax_number": "978-453-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 MERRIMACK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543571",
            "telephone_number": "978-452-9914",
            "fax_number": "978-453-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PARK ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "CONFORTI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-452-9914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "35426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9769692",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.