Organization Active NPI

Healthpro Heritage Healthcare, Inc

  • Occupational Therapist
  • Bronx, NY
National Provider Identifier
1649792920
Registry record updated Jul 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
HEALTHPRO HERITAGE HEALTHCARE, INC
Practice address
5901 Palisade Ave
Bronx, NY 10471-1205
Phone
(718) 581-1000
NPI assigned
Jul 8, 2017
Last updated
Jul 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2017

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

Authorized official

Name
Ms. Marsha A Zatcoff
Title
Director, Direct Bill Services
Phone
(864) 244-3626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NY Primary

Addresses

Primary practice location

5901 Palisade Ave
Bronx, NY 10471-1205

Mailing address

24 Dayton LN
Manalapan, NJ 07726-2805
Phone (848) 459-7414

Other identifiers 1

IdentifierTypeStateIssuer
116869MedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1499472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499472000000",
    "number": "1649792920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DAYTON LN",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077262805",
            "telephone_number": "848-459-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 PALISADE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711205",
            "telephone_number": "718-581-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHPRO HERITAGE HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-08",
        "last_updated": "2017-07-08",
        "status": "A",
        "authorized_official_last_name": "ZATCOFF",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR, DIRECT BILL SERVICES",
        "authorized_official_telephone_number": "864-244-3626",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116869",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2017; 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.