Organization Active NPI

Hispanic Medical Services of Washington Heights, PC

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1679859649
Registry record updated Oct 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
197296 Issued in NY
Legal business name
HISPANIC MEDICAL SERVICES OF WASHINGTON HEIGHTS, PC
Practice address
311 Audubon Ave
2ND Floor
New York, NY 10033-4237
Phone
(212) 837-2786
Fax
(212) 837-2787
NPI assigned
Oct 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2011

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

Authorized official

Name
Gerardo Tapia, MD
Title
President
Phone
(212) 543-9700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 004855 NY
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 002754 NY
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 197296 NY Primary

Addresses

Primary practice location

311 Audubon Ave
2ND Floor
New York, NY 10033-4237

Mailing address

311 Audubon Ave
2ND Floor
New York, NY 10033-4237
Phone (212) 837-2786

Other identifiers 2

IdentifierTypeStateIssuer
01523679MedicaidNY
197296OtherNYLICENSE

National Provider Directory

National Provider Directory

Locations

5030 Broadway
Ste 620
New York, NY 10034
Phone (347) 884-3544

NPI Registry JSON

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

{
    "created_epoch": "1319241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319241600000",
    "number": "1679859649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 AUDUBON AVE",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334237",
            "telephone_number": "212-837-2786",
            "fax_number": "212-837-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 AUDUBON AVE",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334237",
            "telephone_number": "212-837-2786",
            "fax_number": "212-837-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISPANIC MEDICAL SERVICES OF WASHINGTON HEIGHTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-22",
        "last_updated": "2011-10-22",
        "status": "A",
        "authorized_official_last_name": "TAPIA",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-543-9700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004855",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "002754",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "197296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01523679",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "197296",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2011; 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.