Jiean Joseph Heifetz-Li, DMD, MPH

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

13319 Issued in CT

Practice address

246 Goose LN Ste 204
Guilford, CT 06437-2186

Phone

(203) 453-4381

NPI assigned

Jun 12, 2017

Last updated

Jun 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jheifetzli588960@direct.ynhh.org

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

• Coastal Connecticut Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Guilford, CT
  • NPI 1811199458
  NPD

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1053841197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 GOOSE LN STE 204",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372186",
            "telephone_number": "203-453-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 GOOSE LN STE 204",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372186",
            "telephone_number": "203-453-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIFETZ-LI",
        "first_name": "JIEAN JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "13319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maura Elizabeth Harding, LMSW
• Tim Harmon, LCSW, LADC
• Healthy Hypostases, LLC
• Paul E Heeren, DC
• Jody Heffernan, NP
• James Heise, D.D.S.
• Nupur Narain Heise
• David Hernandez Jr., FNP-C
• Sara Hernandez, LCSW
• HHC Physician Services, PLLC

• Oral and Maxillofacial Surgery (Dentist) in Guilford, CT
• Providers in Guilford, CT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.