Active NPI
Nicholas Heger, PH.D.
- Clinical Pathology/Laboratory Medicine Physician
- Providence, RI
National Provider Identifier
1225475429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- 4158
- Practice address
- 67 Duncan Ave
Providence, RI 02906-1814 - Phone
- (978) 979-4666
- NPI assigned
- May 29, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chemistry Pathology Specialist/Technologist | 246QC1000X | 3901 | CA | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 4158 | MA | Primary |
Addresses
Primary practice location
67 Duncan Ave
Providence, RI 02906-1814
Mailing address
251 Savin Hill Ave # 2
Boston, MA 02125-1067
Phone (978) 979-4666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4158 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1225475429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 SAVIN HILL AVE # 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021251067",
"telephone_number": "978-979-4666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 DUNCAN AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029061814",
"telephone_number": "978-979-4666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEGER",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-29",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "246QC1000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Chemistry",
"state": "CA",
"license": "3901",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "MA",
"license": "4158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.