Heritage Integrated Health Services Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

203946 Issued in NY

Legal business name

HERITAGE INTEGRATED HEALTH SERVICES INC.

Practice address

34 Plaza St E
Suite 104
Brooklyn, NY 11238-5038

Phone

(718) 230-5885

Fax

(718) 230-4260

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Adebola O OrafidiyaNPI 1831244227

Title

Medical Doctor

Phone

(718) 230-5885

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Adebola O Orafidiya, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1831244227
  Medicare reassignment NPD Authorized official
• Yvette Crumity, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1518101955
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1508907692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 PLAZA ST E",
            "address_2": "SUITE 104",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385038",
            "telephone_number": "718-230-5885",
            "fax_number": "718-230-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PLAZA ST E",
            "address_2": "SUITE 104",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385038",
            "telephone_number": "718-230-5885",
            "fax_number": "718-230-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE INTEGRATED HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "ORAFIDIYA",
        "authorized_official_first_name": "ADEBOLA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "718-230-5885"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "203946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01733531",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita Heredia, SPECIAL EDUCATION
• Heritage Homecare Services Inc.
• Heritage Homecare Services, Inc.
• Heritage Human Services
• Heritage Human Services
• Lissa Heriveaux
• Magaly Heriveaux
• Yvrose Heriveaux
• Eva Kathryn Herling
• Ahuva Herman, MSED

• Preferred Provider Organization in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Preferred Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.