Heritage Breast Care LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

HERITAGE BREAST CARE LLC

Practice address

260 Old Hook Road
Westwood, NJ 07675

Phone

(201) 833-2888

Fax

(201) 833-1010

NPI assigned

Jul 12, 2013

Organization subpart

No

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

Authorized official

Name

Moira Christoudias, M.D.

Title

Breast Surgeon

Phone

(201) 833-2888

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Stavros George Christoudias, M.D.

  • Surgery Physician
  • Teaneck, NJ
  • NPI 1679710875
  NPD (past)

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1639510183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 TEANECK RD",
            "address_2": "SUITE B",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664243",
            "telephone_number": "201-833-2888",
            "fax_number": "201-833-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 OLD HOOK ROAD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-833-2888",
            "fax_number": "201-833-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE BREAST CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "CHRISTOUDIAS",
        "authorized_official_first_name": "MOIRA",
        "authorized_official_title_or_position": "BREAST SURGEON",
        "authorized_official_telephone_number": "201-833-2888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Danielle Hart, LCSW
• Heart & Soul Sanctuary
• Sabrina Tate Hegarty, PT, DPT
• Ariel Heller, DO
• Rebecca Hembarsky, PT, DPT
• Highfive NJ Inc
• Panayiotis George Hios, DPT
• Steven David Hoffman, PH.D
• Valerie Holsinger, LCSW
• Holy Name Primary Care and Specialty Associates, PC

• Surgery Physician in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.