Heritage Medical Services PLLC
in Poughkeepsie, NY. Organization (NPI-2).
Details
- NPI
- 1508566670
- Entity type
- Organization (NPI-2)
- Legal business name
- Heritage Medical Services PLLC
- Organization subpart
- No
- Enumeration date
- Mar 7, 2023
- Certification date
- Aug 24, 2026
- Last updated
- Aug 24, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | – | – | Yes |
Practice location
695 Dutchess Tpke Ste 104Poughkeepsie, NY 12603-6443
Phone 404-242-9621 · Fax 732-347-3388
Mailing address
695 Dutchess Tpke Ste 104Poughkeepsie, NY 12603-6443
Phone 404-242-9621 · Fax 732-347-3388
Other practice locations
Clifton, NJ 07013-3523
Phone 973-453-3325 · Fax 732-347-3388
Paterson, NJ 07514-1530
Phone 973-453-3325 · Fax 732-347-3388
Rockville Ctr, NY 11570-4711
Phone 770-537-5555 · Fax 770-537-0548
Authorized official
Steve O Odeh
Owner
4042429621
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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