Active NPI
Hispanic Medical Services of Washington Heights, PC
- Psychiatry Physician
- New York, NY
National Provider Identifier
1679859649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 197296
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 004855 | NY | |
| Mental Health Counselor | 101YM0800X | 002754 | NY | |
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01523679 | Medicaid | NY | |
| 197296 | Other | NY | LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.