Robert K. Heineman Jr., MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

087518-1 Issued in NY

Legal business name

ROBERT K. HEINEMAN JR., MD PC

Practice address

23 La Grange Rd
Delmar, NY 12054-3712

Phone

(518) 439-8444

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Robert K. Heineman Jr., MD

Title

President

Phone

(518) 439-8444

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1972691632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 LA GRANGE RD",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120543712",
            "telephone_number": "518-439-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 LA GRANGE RD",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120543712",
            "telephone_number": "518-439-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT K. HEINEMAN JR., MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "HEINEMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-439-8444",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "087518-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00526870",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.