Individual provider Active NPI

Jeffrey Louis Hedden, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Queensbury, NY
National Provider Identifier
1417181405
Registry record updated Jul 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
267496 Issued in NY
Practice address
17 Main St
Queensbury, NY 12804-4007
Phone
(518) 798-0767
Fax
(518) 798-0815
NPI assigned
May 6, 2009
Last updated
Jul 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 267496 NY Primary

Addresses

Primary practice location

17 Main St
Queensbury, NY 12804-4007

Mailing address

17 Main St
Queensbury, NY 12804-4007
Phone (518) 798-0767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130906000368 NY Practitioner - Physical Medicine and Rehabilitation 0244473452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
State University of New York at Buffalo School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adirondack Rehabilitation Medicine PLLCGroup PAC ID 1557302767, 6 clinicians

Practice addresses (Care Compare)

17 Main St
Queensbury, NY 12804-4007
Phone 5187980767230

500 State St
Schenectady, NY 12305-2414
Phone (518) 798-0767

Merit-based Incentive Payment System (MIPS)

Final score
80.06 of 100Reported as group
Quality
61.95
Improvement activities
40
Cost
84.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
267496NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Rehabilitation Medicine PLLC Physical Medicine & Rehabilitation CurrentSince Jul 1, 2013 Accepting new patients

Locations

1367 Washington Ave
Albany, NY 12206
Phone (518) 438-7926

121 Everett Rd
Colonie, NY 12205

17 Main St
Queensbury, NY 12804
Phone (518) 798-0767

500 State St
Schenectady, NY 12305
Phone (518) 798-0767

Interoperability endpoints

  • Direct secure messaging: drjefferyhedden@adirondackrehabilitation.medentdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372982400000",
    "number": "1417181405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MAIN ST",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128044007",
            "telephone_number": "518-798-0767",
            "fax_number": "518-798-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MAIN ST",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128044007",
            "telephone_number": "518-798-0767",
            "fax_number": "518-798-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDDEN",
        "first_name": "JEFFREY",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2013-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "267496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

Verify at the official NPI Registry.