Heritage Medical Services PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

HERITAGE MEDICAL SERVICES PLLC

Practice address

695 Dutchess Tpke Ste 104
Poughkeepsie, NY 12603-6443

Phone

(404) 242-9621

Fax

(732) 347-3388

NPI assigned

Mar 7, 2023

Organization subpart

No

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

Authorized official

Name

Steve O OdehNPI 1801940200

Title

Owner

Phone

(404) 242-9621

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steve O Odeh, M.D

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Bremen, GA
  • NPI 1801940200

  NJ, NY

  Medicare reassignment Authorized official
• Safdar Hussain, M.D

  • Internal Medicine Physician
  • East Meadow, NY
  • NPI 1700055506
  NPD (past)
• Arun K Mangla, MD

  • Cardiovascular Disease Physician
  • Richmond Hill, NY
  • NPI 1134143035
  NPD (past)

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1508566670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 DUTCHESS TPKE STE 104",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036443",
            "telephone_number": "404-242-9621",
            "fax_number": "732-347-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 DUTCHESS TPKE STE 104",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036443",
            "telephone_number": "404-242-9621",
            "fax_number": "732-347-3388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Sunrise Hwy",
            "address_purpose": "LOCATION",
            "city": "Rockville Ctr",
            "state": "NY",
            "postal_code": "115704711",
            "country_code": "US",
            "telephone_number": "770-537-5555",
            "fax_number": "770-537-0548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Clifton Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070133523",
            "country_code": "US",
            "telephone_number": "973-453-3325",
            "fax_number": "732-347-3388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 Broadway Ste 506",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075141530",
            "country_code": "US",
            "telephone_number": "973-453-3325",
            "fax_number": "732-347-3388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HERITAGE MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "ODEH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-242-9621"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Joseph Henry, ATC, MSED, CSCS
• Suzanne Henry, CRNA
• Jacob I Hentel, MD
• Diane M Herbert
• Camilla Herbin, DO
• Jay Herman, LMSW
• Mira Goldring Herman, M.D.
• Erika Hernandez, LPN
• Nestor Hernandez
• Hope Herrera

• All providers in Poughkeepsie, NY
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.