Provider Demographics
NPI:1770633497
Name:HEIGHTS PHYSICIANS GROUP, P.C.
Entity type:Organization
Organization Name:HEIGHTS PHYSICIANS GROUP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:V
Authorized Official - Last Name:ALVARADO-RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-544-0440
Mailing Address - Street 1:609 W 188TH ST
Mailing Address - Street 2:SUITE GFW
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-4246
Mailing Address - Country:US
Mailing Address - Phone:212-544-0440
Mailing Address - Fax:212-544-0505
Practice Address - Street 1:609 W 188TH ST
Practice Address - Street 2:SUITE GFW
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-4246
Practice Address - Country:US
Practice Address - Phone:212-544-0440
Practice Address - Fax:212-544-0505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherTAX ID
NY=========OtherTAX ID