Individual provider Active NPI

Jaclyn M. Heuer, NP-C

  • Adult Health Nurse Practitioner
  • Emerson, NJ
National Provider Identifier
1215256516
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00712900 Issued in NJ
Practice address
466 Old Hook Rd Ste 1
Emerson, NJ 07630-1368
Phone
(201) 967-8221
Fax
(201) 967-0340
NPI assigned
May 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 306237 NY
Adult Health Nurse Practitioner 363LA2200X 26NJ00712900 NJ Primary

Addresses

Primary practice location

466 Old Hook Rd Ste 1
Emerson, NJ 07630-1368

Mailing address

3 Deforest CT
West Nyack, NY 10994-1327
Phone (845) 558-4574

Other practice location 1

19 Squadron Blvd
New City, NY 10956-5227
Phone (845) 634-8000

Other practice location 2

156 Route 59
Suffern, NY 10901-5005
Phone (845) 357-8660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230203002086 NJ Practitioner - Nurse Practitioner 8426280744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MPV New Jersey MD Services PCGroup PAC ID 5991097669, 146 clinicians

Practice addresses (Care Compare)

466 Old Hook Rd
Suite 1
Emerson, NJ 07630-1368
Phone (201) 967-8221

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00712900NJMDAdult Health Nurse Practitioner
306237NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MPV New Jersey MD Services PC CurrentSince Jan 1, 2023 Accepting new patients
MPV New Jersey MD Services PC CurrentSince Jan 1, 2023 Accepting new patients
Harmony Medical Care, PC PastSince Dec 1, 2025 Accepting new patients

Locations

466 Old Hook Rd
Ste 1
Emerson, NJ 07630
Phone (201) 261-0821

305 W Grand Ave
Ste 200
Montvale, NJ 07645
Phone (201) 391-0071

269 Livingston St
Ste L
Northvale, NJ 07647
Phone (201) 767-8400

1 W Ridgewood Ave
Ste 301
Paramus, NJ 07652
Phone (201) 444-7666

190 Dayton St
Ste 1
Ridgewood, NJ 07450
Phone (201) 670-7800

Interoperability endpoints

  • Direct secure messaging: jheuer838324@ahs.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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1215256516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DEFOREST CT",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941327",
            "telephone_number": "845-558-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 OLD HOOK RD STE 1",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301368",
            "telephone_number": "201-967-8221",
            "fax_number": "201-967-0340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Squadron Blvd",
            "address_purpose": "LOCATION",
            "city": "New City",
            "state": "NY",
            "postal_code": "109565227",
            "country_code": "US",
            "telephone_number": "845-634-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "156 Route 59",
            "address_purpose": "LOCATION",
            "city": "Suffern",
            "state": "NY",
            "postal_code": "109015005",
            "country_code": "US",
            "telephone_number": "845-357-8660",
            "fax_number": "845-357-9170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEUER",
        "first_name": "JACLYN",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306237",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00712900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emerson, NJ

Sources for this page

Verify at the official NPI Registry.