Organization Active NPI

Healey MD PC

  • Clinical Pathology Physician
  • Liverpool, NY
National Provider Identifier
1497980007
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology PhysicianTaxonomy code 207ZC0006X
License
233066 Issued in NY
Legal business name
HEALEY MD PC
Practice address
113 Innovation LN
Liverpool, NY 13088-6061
Phone
(315) 410-7037
NPI assigned
May 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Authorized official

Name
Jayne L Healey, MD
Title
President
Phone
(315) 410-7037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZC0006X 233066 NY Primary

Addresses

Primary practice location

113 Innovation LN
Liverpool, NY 13088-6061

Mailing address

4567 Crossroads Park Dr
Liverpool, NY 13088-3589
Phone (315) 295-2100

National Provider Directory

National Provider Directory

Locations

113 Innovation Ln
Liverpool, NY 13088
Phone (315) 410-7000

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1497980007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 CROSSROADS PARK DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883589",
            "telephone_number": "315-295-2100",
            "fax_number": "315-295-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 INNOVATION LN",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886061",
            "telephone_number": "315-410-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "HEALEY",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-410-7037",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": "NY",
            "license": "233066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.