NPIMap

Organization Active NPI

Highland Medical P.C.

  • General Practice Physician
  • Nyack, NY
National Provider Identifier
1376600304
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HIGHLAND MEDICAL P.C.
Practice address
160 N Midland Ave
Nyack, NY 10960-1912
Phone
(845) 348-2985
Fax
(845) 348-2102
NPI assigned
Jan 2, 2007
Last updated
Oct 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Dr. Michael E. Rader, MDNPI 1962427294
Title
PC Owner/President
Phone
(845) 348-2198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Hematology & Oncology Physician 207RH0003X NU
Surgery Physician 208600000X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

160 N Midland Ave
Nyack, NY 10960-1912

Mailing address

160 N Midland Ave
Nyack, NY 10960-1912
Phone (845) 348-2985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031230000737 NY Part B Supplier - Clinic/Group Practice 2668370420 Receives reassigned benefits from 41 practitioners
Practice locations: Nyack, NY; West Nyack, NY

National Provider Directory

National Provider Directory

Locations

200 E Eckerson Rd
Ste 160
New City, NY 10956
Phone (845) 352-5900

255 5th Ave
Nyack, NY 10960
Phone (845) 362-1750

312 Route 59
Nyack, NY 10960
Phone (845) 348-2000

275 N Middletown Rd
Ste 1F
Pearl River, NY 10965
Phone (845) 735-6699

11 Medical Park Dr
Ste 203
Pomona, NY 10970
Phone (845) 354-2241

18 Thiells Mount Ivy Rd
Ste 4
Pomona, NY 10970
Phone (845) 354-7957

3 Centerock Rd
West Nyack, NY 10994
Phone (845) 348-2000

Practitioners & affiliated clinicians

Practitioners 61

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1376600304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N MIDLAND AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601912",
            "telephone_number": "845-348-2985",
            "fax_number": "845-348-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N MIDLAND AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601912",
            "telephone_number": "845-348-2985",
            "fax_number": "845-348-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PC OWNER/PRESIDENT",
        "authorized_official_telephone_number": "845-348-2198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.