MEDICARE: HEARTLAND MEDICAL SERVICES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	226582	NY
2	207Q00000X	Family Medicine Physician	209836	NY
3	207R00000X	Internal Medicine Physician	136429	NY
4	207R00000X	Internal Medicine Physician	234547	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2590572	OTHER	NY	AETNA HMO
2	W5A401	OTHER	NY	EMPIRE BCBS URGICARE

General Provider Information

NPI Number	:	1942326665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTLAND MEDICAL SERVICES, P.C.

Provider Business Mailing Address
First Line	:	PO BOX 141280
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-1280
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	251 RICHMOND HILL RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-5906
Country	:	US
Telephone Number	:	718-761-2800
Fax Number	:	718-494-6829

Authorized Official
Title or Position	:	MANAGER
Name	:	IRINA ZARITSKY
Credential	:
Telephone Number	:	718-761-2800

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	09/11/2025

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Directions to “HEARTLAND MEDICAL SERVICES, P.C. ” Practice Location

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