Active NPI
Stanley C Heifetz, DMD
- Dentist
- New York, NY
National Provider Identifier
1730276759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 033583
- Practice address
- 275 Madison Avenue
Suite 2210
New York, NY 10016 - Phone
- (212) 682-3260
- Fax
- (212) 682-2516
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 033583 | NY | Primary |
Addresses
Primary practice location
275 Madison Avenue
Suite 2210
New York, NY 10016
Mailing address
275 Madison Avenue
Suite 2210
New York, NY 10016
Phone (212) 682-3260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanley C Heifetz | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- New York, NY
- NPI 1245301993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730276759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 MADISON AVENUE",
"address_2": "SUITE 2210",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "212-682-3260",
"fax_number": "212-682-2516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 MADISON AVENUE",
"address_2": "SUITE 2210",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "212-682-3260",
"fax_number": "212-682-2516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIFETZ",
"first_name": "STANLEY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "033583",
"primary": true
}
],
"identifiers": [],
"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 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.