Kristine Loparo Heck, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

204427 Issued in NY

Practice address

77 Miller Road
Suite 1
Castleton, NY 12033

Phone

(518) 477-8761

Fax

(518) 477-2251

NPI assigned

Mar 27, 2006

Sex

Female

Sole proprietor

No

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.

• Pondview Pediatrics LLP

  • Pediatrics Physician
  • Castleton, NY
  • NPI 1669589792

  Pediatrics

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730149360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MILLER ROAD",
            "address_2": "SUITE 1",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "12033",
            "telephone_number": "518-477-8761",
            "fax_number": "518-477-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MILLER ROAD",
            "address_2": "SUITE 1",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "12033",
            "telephone_number": "518-477-8761",
            "fax_number": "518-477-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECK",
        "first_name": "KRISTINE",
        "middle_name": "LOPARO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "204427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01728349",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Neal Gregory, MD MPH
• Tamara Melissa Grissell, FNP
• Lizabeth Hansen
• Nancy Ann Harris, NP
• Kristen Marie Hausler, MS CCC-SLP
• Stacy Marie Herron, MS, SLP
• Ashley Elizabeth Hill, MS CCC SLP
• Shannon Horan, LPN
• Hudson Valley Kinetic Mobility LLC
• Albert Njoroge Huho, MB, CHB

• All providers in Castleton, NY
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.