Individual provider Active NPI

Heather Genevieve Jones, M.D.

  • Pediatrics Physician
  • Potsdam, NY
National Provider Identifier
1720498587
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
288926 Issued in NY
Practice address
15 Raymond St
Potsdam, NY 13676-1163
Phone
(315) 265-9271
NPI assigned
May 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 288926 NY Primary

Addresses

Primary practice location

15 Raymond St
Potsdam, NY 13676-1163

Mailing address

50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 265-3300

Other practice location 1

1 Medical Center Dr
DHMC Department of Pediatrics
Lebanon, NH 03756-1000
Phone (603) 650-5860

Other practice location 2

190 Outer Main St
Potsdam, NY 13676-2356
Phone (315) 261-5615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170831002491 NY Practitioner - Pediatric Medicine 8224336672 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Canton-Potsdam Hospital CurrentSince Aug 7, 2017 Accepting new patients
Canton-Potsdam Hospital CurrentSince Aug 7, 2017 Accepting new patients
Canton Potsdam Hospital Past Accepting new patients

Locations

190 Outer Main St
Potsdam, NY 13676
Phone (315) 265-1095

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

15 Raymond St
Potsdam, NY 13676
Phone (315) 265-1055

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

Interoperability endpoints

  • Direct secure messaging: hjones338563@direct.rochesterregional.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1720498587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEROY ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761786",
            "telephone_number": "315-265-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RAYMOND ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761163",
            "telephone_number": "315-265-9271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_2": "DHMC Department of Pediatrics",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "603-650-5860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Outer Main St",
            "address_purpose": "LOCATION",
            "city": "Potsdam",
            "state": "NY",
            "postal_code": "136762356",
            "country_code": "US",
            "telephone_number": "315-261-5615",
            "fax_number": "315-261-7183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "HEATHER",
        "middle_name": "GENEVIEVE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-02",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "288926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potsdam, NY

Sources for this page

Verify at the official NPI Registry.