Organization Active NPI

Heights Physicians Group, P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • New York, NY
National Provider Identifier
1770633497
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
HEIGHTS PHYSICIANS GROUP, P.C.
Practice address
609 W 188TH St
Suite GFW
New York, NY 10040-4246
Phone
(212) 544-0440
Fax
(212) 544-0505
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Jorge V. Alvarado-Rivera, M.D.NPI 1902831175
Title
President
Phone
(212) 544-0440

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

609 W 188TH St
Suite GFW
New York, NY 10040-4246

Mailing address

609 W 188TH St
Suite GFW
New York, NY 10040-4246
Phone (212) 544-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070830000635 NY Part B Supplier - Clinic/Group Practice 9133212574 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson Heights, NY; New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1066317Heights Physicians Group PC609 W 188TH Street Apt GFW, New York, NY 10040Certificate of waiverMar 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
Heights Physicians Group PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1770633497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W 188TH ST",
            "address_2": "SUITE GFW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100404246",
            "telephone_number": "212-544-0440",
            "fax_number": "212-544-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W 188TH ST",
            "address_2": "SUITE GFW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100404246",
            "telephone_number": "212-544-0440",
            "fax_number": "212-544-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIGHTS PHYSICIANS GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ALVARADO-RIVERA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-544-0440",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.