Heritage New York Medical PC
NPI 1578982146ActiveOrganization· Internal Medicine· Garden City, NY
Internal Medicine in Garden City, New York, registered in NPPES in April 2014. The authorized official on file is Mary Kathleen Nix, RN, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578982146 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 10, 2014 |
| Last updated in NPPES | Nov 15, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Clinical Nurse Specialist | 364S00000X | 11-3284153 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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