Hudson Heights Ipa, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HUDSON HEIGHTS IPA, INC.

Practice address

140 Wadsworth Ave
4
New York, NY 10033-4816

Phone

(646) 417-0500

Fax

(212) 320-0597

NPI assigned

Aug 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Bienvenido Fajardo, M.D.

Title

Ceo

Phone

(646) 417-0500

Specialties & licenses 6

Addresses

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407289937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WADSWORTH AVE",
            "address_2": "4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334816",
            "telephone_number": "646-417-0500",
            "fax_number": "212-320-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WADSWORTH AVE",
            "address_2": "4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334816",
            "telephone_number": "646-417-0500",
            "fax_number": "212-320-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON HEIGHTS IPA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "BIENVENIDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-417-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hudson Ambulatory Medical, P.C.
• Hudson Anesthesia Services, P.C.
• Hudson Facility Management Corp
• Hudson Guild
• Hudson Heights Aco, Inc
• Hudson Heights Pediatric Speech, PLLC
• Hudson Heights Pediatrics, PC
• Hudson Heights Services, Inc
• Hudson Liberty Medical, P.C.
• Hudson Life Medical, PLLC

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.