Individual provider Active NPI

Alan Douglas Heymann, M.D.

  • Surgery Physician
  • New York, NY
National Provider Identifier
1184725863
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
097908 Issued in NY
Practice address
122 E 76TH St Ofc 1B
New York, NY 10021-2833
Phone
(212) 628-8771
Fax
(212) 628-7721
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 097908 NY Primary

Addresses

Primary practice location

122 E 76TH St Ofc 1B
New York, NY 10021-2833

Mailing address

122 E 76TH St Ofc 1B
New York, NY 10021-2833
Phone (212) 628-8771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2013 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1184725863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E 76TH ST OFC 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212833",
            "telephone_number": "212-628-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E 76TH ST OFC 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212833",
            "telephone_number": "212-628-8771",
            "fax_number": "212-628-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYMANN",
        "first_name": "ALAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "097908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.