Heritage Services

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

HERITAGE SERVICES

Practice address

358 Broadway
Kingston, NY 12401-5164

Phone

(800) 652-3116

Fax

(800) 407-6897

NPI assigned

May 25, 2010

Organization subpart

No

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

Authorized official

Name

Mila Superfin

Title

President

Phone

(800) 652-3116

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Gamburg, MD

  • Interventional Pain Medicine Physician
  • Ramsey, NJ
  • NPI 1134120298
  NPD (past)

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1801115290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2003",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124022003",
            "telephone_number": "800-652-3116",
            "fax_number": "800-407-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015164",
            "telephone_number": "800-652-3116",
            "fax_number": "800-407-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "SUPERFIN",
        "authorized_official_first_name": "MILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-652-3116"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jill Henderson, D.O.
• Katherine Grace Henri, LMSW
• Andrea K Henry, PSY.D.
• Tiphonie Henry, LMSW
• Tabitha L Henson, LCSW
• Stephen Hermele, MD
• Dimitri Hernandez, C.S.W.
• Jocelyn Hernandez, LCSW
• Kathleen Hernandez, MS ED
• Lina M Hernandez, LCSW

• Pain Clinic/Center in Kingston, NY
• Providers in Kingston, NY by specialty
• Pain Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.