Individual provider Active NPI

Heidi Rebecca Zerlin, MA SPECIAL ED

  • Case Manager/Care Coordinator
  • Millstone Township, NJ
National Provider Identifier
1134835192
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
2514474 Issued in NY
Practice address
17 Groendyke Cir
Millstone Township, NJ 08535-3811
Phone
(347) 882-1530
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 2514474 NY Primary

Addresses

Primary practice location

17 Groendyke Cir
Millstone Township, NJ 08535-3811

Mailing address

17 Groendyke Cir
Millstone Township, NJ 08535-3811
Phone (347) 882-1530

Other identifiers 2

IdentifierTypeStateIssuer
2514474OtherNYTEACH ACCOUNT CERTIFICATE NUMBER
1628994222OtherNYCONTROL NUMBER FOR NYS TEACHER CERTIFICATION

Other names 1

  • Mrs. Heidi Rebecca Baruchov Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL hbaruchov@gmail.com Other
Other URL hbaruchov@gmail.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2514474NYMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1134835192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 GROENDYKE CIR",
            "city": "MILLSTONE TOWNSHIP",
            "state": "NJ",
            "postal_code": "085353811",
            "telephone_number": "347-882-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 GROENDYKE CIR",
            "city": "MILLSTONE TOWNSHIP",
            "state": "NJ",
            "postal_code": "085353811",
            "telephone_number": "347-882-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERLIN",
        "first_name": "HEIDI",
        "middle_name": "REBECCA",
        "name_prefix": "Miss",
        "credential": "MA SPECIAL ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "2514474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEACH ACCOUNT CERTIFICATE NUMBER",
            "identifier": "2514474",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROL NUMBER FOR NYS TEACHER CERTIFICATION",
            "identifier": "1628994222",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hbaruchov@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "n/a",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "17 Groendyke Cir",
            "city": "Millstone Township",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085353811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hbaruchov@gmail.com",
            "affiliation": "N",
            "endpointDescription": "personal email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "n/a",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "17 Groendyke Cir",
            "city": "Millstone Township",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085353811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "BARUCHOV",
            "middle_name": "REBECCA",
            "prefix": "MRS.",
            "credential": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Millstone Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.