Heights Medical Associates PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21636 Issued in NJ

Legal business name

HEIGHTS MEDICAL ASSOCIATES PA

Practice address

288 Boulevard
Hasbrouck Heights, NJ 07604-1315

Phone

(201) 288-6781

Fax

(201) 288-2734

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Ellen V Schaffer

Title

Admin

Phone

(201) 288-6364

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1730133562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 BOULEVARD",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041315",
            "telephone_number": "201-288-6781",
            "fax_number": "201-288-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 BOULEVARD",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041315",
            "telephone_number": "201-288-6781",
            "fax_number": "201-288-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIGHTS MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "201-288-6364",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "21636",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "39369",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ID",
            "identifier": "0113810001",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2874407",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hasbrouck Heights Surgery Center, LLC
• Ramin Shayegan Hastings, MD
• Heights Health Care, Inc
• Heights Home Care PC
• Heights Medical Associates PA
• Heights Patient Care LLC
• Jennifer Hughes, PSY.D, BCBA
• Qiming Hui, LAC
• Shannon Alys Itjen
• James Aversa OD PA

• Family Medicine Physician in Hasbrouck Heights, NJ
• Providers in Hasbrouck Heights, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.