Organization Active NPI

Helen D. de Asis MD PC

  • Legal Medicine
  • Haverstraw, NY
National Provider Identifier
1407920762
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
159990 Issued in NY
Legal business name
HELEN D. DE ASIS MD PC
Practice address
29 Broadway
Haverstraw, NY 10927-1147
Phone
(845) 429-9501
NPI assigned
Nov 20, 2006
Last updated
Mar 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
Helen De AsisNPI 1588738835
Title
Sole Proprietor
Phone
(845) 429-9501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 159990 NY Primary

Addresses

Primary practice location

29 Broadway
Haverstraw, NY 10927-1147

Mailing address

14 Leeward Dr
Haverstraw, NY 10927-2105

Other identifiers 1

IdentifierTypeStateIssuer
00900312MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090420000588 NY Part B Supplier - Clinic/Group Practice 3678620119 Receives reassigned benefits from 1 practitioner
Practice locations: Haverstraw, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1407920762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LEEWARD DR",
            "city": "HAVERSTRAW",
            "state": "NY",
            "postal_code": "109272105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BROADWAY",
            "city": "HAVERSTRAW",
            "state": "NY",
            "postal_code": "109271147",
            "telephone_number": "845-429-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELEN D. DE ASIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "DE ASIS",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "845-429-9501"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "159990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00900312",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverstraw, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.