Marybeth Heffernan, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NC06229000 Issued in NJ

Practice address

VA New Jersey Health Care System, East Orange Campus
385 Tremont Avenue
East Orange, NJ 07018

Phone

(973) 676-1000

NPI assigned

Sep 25, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164522553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 JUDGE THOMPSON RD",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA NEW JERSEY HEALTH CARE SYSTEM, EAST ORANGE CAMPUS",
            "address_2": "385 TREMONT AVENUE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "973-676-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFERNAN",
        "first_name": "MARYBETH",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NC06229000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heart to Heart Health Care Services LLC
• Heart to Heart Health Care Services, LLC
• Heart to Heart Health Care Services, LLC
• Harvey Hechel, M.D.
• Odalys Hector, D.M.D.
• Helms Medical Services, LLC
• Helping Hands Direct Care
• Alanna Henry
• Gail Henry
• Shaun Burgess Henry, LCSW

• Adult Health Nurse Practitioner in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.