Ellen J. Heuman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

035899 Issued in NY

Practice address

842 Park Ave
New York, NY 10021

Phone

(212) 327-0576

Fax

(212) 737-0696

NPI assigned

Jan 24, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215082946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 PARK AVE",
            "address_2": "APARTMENT 5A-1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281211",
            "telephone_number": "212-423-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-327-0576",
            "fax_number": "212-737-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUMAN",
        "first_name": "ELLEN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "035899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00677830",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heuer Optical
• Heuer Optical
• Heuer Optical
• Jianna Heuer, LCSW
• Andrew Heuman-Gutman, DDS
• Heuro Inc (Heuro Health)
• John Kenneth Heussy, M.D.
• Barbara Heuwetter
• Amendda Hevener, LCSW
• Hevo Health, Inc (Hevo)

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.