Individual provider Active NPI

Richard A Heiden, M.D.

  • Diagnostic Radiology Physician
  • Manhasset, NY
National Provider Identifier
1770660730
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
160241 Issued in NY
Practice address
56 Hemlock Rd
Manhasset, NY 11030-1212
Phone
(516) 767-8958
Fax
(516) 767-6750
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 160241 NY Primary

Addresses

Primary practice location

56 Hemlock Rd
Manhasset, NY 11030-1212

Mailing address

56 Hemlock Rd
Manhasset, NY 11030-1212
Phone (516) 767-8958

Other identifiers 2

IdentifierTypeStateIssuer
01697290-046MedicaidNY
160241-6OtherNYWORKMANS' COMPENSATION

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
160241NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Radiology Services PC Diagnostic Radiology PastSince Jun 1, 2011 Accepting new patients
Mid-Island Medical Imaging, P.C. Diagnostic Radiology PastSince Jan 20, 2010 Accepting new patients
Interfaith Medical Center Diagnostic Radiology Past Accepting new patients
N. S. So Island Diag GRP Past Accepting new patients
Brooklyn Hospital Radiology P C Diagnostic Radiology Past Accepting new patients
Kissena Medical Imaging,P.C. Diagnostic Radiology PastSince Apr 1, 2006 Accepting new patients
Interfaith Radiology Diagnostic Radiology Past Accepting new patients
Hilltop Medical Diagnostic and Treatment Center Past Accepting new patients
Clifford Beinart, M.D PC Past Accepting new patients
Meadows Nuclear Spect Imaging, PC Past Accepting new patients

Organizations & group practices 10

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770660730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 HEMLOCK RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301212",
            "telephone_number": "516-767-8958",
            "fax_number": "516-767-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 HEMLOCK RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301212",
            "telephone_number": "516-767-8958",
            "fax_number": "516-767-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDEN",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "160241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01697290-046",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMANS' COMPENSATION",
            "identifier": "160241-6",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, 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.

Verify at the official NPI Registry.