Hudson Heights Aco, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HUDSON HEIGHTS ACO, INC

Practice address

140 Wadsworth Ave Apt 4
New York, NY 10033-4817

Phone

(646) 417-0500

NPI assigned

Jun 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Bienvenido Fajardo, MDNPI 1528153467

Title

Ceo

Phone

(646) 417-0500

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, and the practitioner matching its NPPES authorized official.

• Bienvenido Fajardo, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1528153467
  NPD Authorized official

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1679134860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WADSWORTH AVE APT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334817",
            "telephone_number": "646-417-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WADSWORTH AVE APT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334817",
            "telephone_number": "646-417-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON HEIGHTS ACO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "BIENVENIDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-417-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Hudon, LMSW
• Hudson Ambulatory Medical, P.C.
• Hudson Anesthesia Services, P.C.
• Hudson Facility Management Corp (City Hall Pharmacy)
• Hudson Guild
• Hudson Heights Ipa, Inc.
• Hudson Heights Pediatric Speech, PLLC
• Hudson Heights Pediatrics, PC
• Hudson Heights Services, Inc
• Hudson Liberty Medical, P.C.

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.