NPIMap

Organization Active NPI

William Heffernan,M.D.

  • Family Medicine Physician
  • Highland, NY
National Provider Identifier
1699804427
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
162027 Issued in NY
Legal business name
WILLIAM HEFFERNAN,M.D.
Practice address
240 S Riverside Rd
Highland, NY 12528-2523
Phone
(845) 691-9200
Fax
(845) 691-3992
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Dr. William Heffernan, M.D.NPI 1356306617
Title
Owner
Phone
(845) 691-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 162027 NY Primary

Addresses

Primary practice location

240 S Riverside Rd
Highland, NY 12528-2523

Mailing address

240 S Riverside Rd
P.O. Box 799
Highland, NY 12528-2523
Phone (845) 691-9200

Other identifiers 1

IdentifierTypeStateIssuer
01998769MedicaidNY

National Provider Directory

National Provider Directory

Locations

240 S Riverside Rd
Highland, NY 12528
Phone (845) 691-9200

240 S Riverside Rd
#799
Highland, NY 12528
Phone (845) 691-9200

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1699804427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S RIVERSIDE RD",
            "address_2": "P.O. BOX 799",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282523",
            "telephone_number": "845-691-9200",
            "fax_number": "845-691-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S RIVERSIDE RD",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282523",
            "telephone_number": "845-691-9200",
            "fax_number": "845-691-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM HEFFERNAN,M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "HEFFERNAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-691-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "162027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01998769",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.