1. Home
  2. Directory
  3. Rhode Island
  4. Pawtucket
  5. Internal Medicine
  6. NPI Profile

HERITAGE MEDICAL ASSOCIATES PC
NPI 1003982547
Internal Medicine in Pawtucket, RI

Active since November 27, 2006CLIA 41D1065518 · Waiver
131 BEECHWOOD AVE, PAWTUCKET, RI 02860(401) 475-1999(401) 475-6932 Get Directions Write a Review

NPPES record last updated: October 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heritage Medical Associates Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERITAGE MEDICAL ASSOCIATES PC (NPI 1003982547) is a healthcare organization registered as an internal medicine in Pawtucket, Rhode Island and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through March 4, 2027 and lists John Peter Miskovsky, President, as its authorized official.

NPPES Registry Identity

NPI1003982547
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHERITAGE MEDICAL ASSOCIATES PC
Location Address131 BEECHWOOD AVEPawtucket, RI 02860-5409
Mailing Address131 Beechwood AvePawtucket, RI 02860-5409 · (401) 475-1999 · Fax (401) 475-6932
Phone(401) 475-1999
Fax(401) 475-6932
Organization SubpartNo
Authorized OfficialJohn Peter MiskovskyPresident · (401) 475-1999
Enumeration DateNovember 27, 2006
Last NPPES UpdateOctober 13, 2015
✔ NPI 1003982547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · MD 10350
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License CT 0816 (CT)
131 BEECHWOOD AVE, Pawtucket, RI 02860
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D1065518

Heritage Medical Associates · Pawtucket, RI
Active · expires Mar 4, 2027
CLIA Number41D1065518
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2025
Certificate Expiration DateMarch 4, 2027
Laboratory DirectorJohn P. Miskovsky MD
Laboratory Phone(401) 475-1999
Laboratory LocationHeritage Medical Associates131 Beechwood Avenue, Pawtucket, RI 02860
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heritage Medical Associates PC's NPI number?

The NPI number for Heritage Medical Associates PC is 1003982547. It was assigned to this organization in the NPPES registry on November 27, 2006.

Where is Heritage Medical Associates PC located?

Heritage Medical Associates PC is located at 131 Beechwood Ave, Pawtucket, RI 02860. The listed phone number is (401) 475-1999.

What is Heritage Medical Associates PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Heritage Medical Associates PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D1065518) is associated with this NPI, valid through March 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heritage Medical Associates PC was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.