Active NPI
Edward R Heilman, M.D.
- Dermatology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 1256801
- Practice address
- 760 Broadway
Woodhull Medical and Mental Health Center
Brooklyn, NY 11206 - Phone
- (718) 963-8000
- Fax
- (718) 270-2794
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | 1256801 | NY | |
| Dermatology Physician | 207N00000X | 1256801 | NY | Primary |
| Anatomic Pathology Physician | 207ZP0101X | 1256801 | NY |
Addresses
Primary practice location
760 Broadway
Woodhull Medical and Mental Health Center
Brooklyn, NY 11206
Mailing address
760 Broadway Room 2B230 Department of Managed Care
Woodhull Medical and Mental Health Center
Brooklyn, NY 11206
Phone (718) 963-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- New York Medical College, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
470 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1256801 | NY | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital of Brooklyn Suny Downstate Health Sciences Univers | Current | Accepting new patients | |
| University Hospital of Brooklyn Suny Downstate Health Sciences Univers | Dermatology | Current | Accepting new patients |
| University Hospital of Brooklyn Suny Downstate Health Sciences Univers | Current | Accepting new patients |
Locations
445 Lenox Rd
#71
Brooklyn, NY 11203
Phone (718) 270-2030
450 Clarkson Ave
#59
Brooklyn, NY 11203
Phone (718) 270-2078
470 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 421-1003
840 Lefferts Ave
Brooklyn, NY 11203
Phone (718) 493-0300
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- edwardheilman@sunydmc.allscriptsdirect.net
- eheilman1052994@nychhc.direct-ci.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1396318986
Dermatology
-
dba SUNY Parkside Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brooklyn, NY
- NPI 1528027414
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1740853340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1144209701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 BROADWAY ROOM 2B230 DEPARTMENT OF MANAGED CARE",
"address_2": "WOODHULL MEDICAL AND MENTAL HEALTH CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11206",
"telephone_number": "718-963-8000",
"fax_number": "718-630-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 BROADWAY",
"address_2": "WOODHULL MEDICAL AND MENTAL HEALTH CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11206",
"telephone_number": "718-963-8000",
"fax_number": "718-270-2794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEILMAN",
"first_name": "EDWARD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "NY",
"license": "1256801",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "1256801",
"primary": true
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NY",
"license": "1256801",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.