Individual provider Active NPI

Richard C Heimbuch, APN-BC

  • Family Nurse Practitioner
  • Manchester, NJ
National Provider Identifier
1033378351
Registry record updated Dec 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00160100 Issued in NJ
Practice address
22 Florian CT
Manchester, NJ 08759-6278
Phone
(732) 773-8540
Fax
(732) 377-5440
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00160100 NJ Primary

Addresses

Primary practice location

22 Florian CT
Manchester, NJ 08759-6278

Mailing address

22 Florian CT
Manchester, NJ 08759-6278
Phone (732) 773-8540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081230000265 NJ Practitioner - Nurse Practitioner 6901968908 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Manchester, NJ 08759
Phone (732) 773-8540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
30.69 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
56.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RCH Advanced Practice Services LLC Family CurrentSince Oct 15, 2021 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Jul 1, 2021 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Jul 1, 2021 Accepting new patients
Intellihealth, Inc. PastSince Feb 1, 2018 Accepting new patients
Community Medical Center Inc Past Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482537600000",
    "number": "1033378351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 FLORIAN CT",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087596278",
            "telephone_number": "732-773-8540",
            "fax_number": "732-377-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 FLORIAN CT",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087596278",
            "telephone_number": "732-773-8540",
            "fax_number": "732-377-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMBUCH",
        "first_name": "RICHARD",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "APN-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2016-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00160100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NJ

Sources for this page

Verify at the official NPI Registry.