Individual provider Active NPI

Heather M Van Raalte, M.D.

  • Gynecology Physician
  • Princeton, NJ
National Provider Identifier
1285660183
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
25MA08415500 Issued in NJ
Practice address
10 Forrestal Rd S
Suite 205
Princeton, NJ 08540-6666
Phone
(609) 924-2230
Fax
(609) 924-5006
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD426505 PA
Gynecology Physician 207VG0400X 25MA08415500 NJ Primary

Addresses

Primary practice location

10 Forrestal Rd S
Suite 205
Princeton, NJ 08540-6666

Mailing address

10 Forrestal Rd S
Suite 205
Princeton, NJ 08540-6666
Phone (609) 924-2230

Other identifiers 5

IdentifierTypeStateIssuer
1360068OtherPAHIGHMARK BLUE SHIELD
2052999000OtherPAINDEPENDENCE BLUE CROSS
03233300OtherPACAPITAL BLUE CROSS
1084443OtherPAAETNA
P00372672OtherRAILROAD MEDICARE

Other names 1

  • Heather M McGehean Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081107000164 NJ Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 0840215489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Vanderbilt University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10 Forrestal Rd S
Suite 205
Princeton, NJ 08540-6666
Phone (609) 924-2230

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08415500NJMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. Obstetrics & Gynecology CurrentSince May 28, 2021 Accepting new patients

Locations

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

10 Forrestal Rd S
Ste 205
Princeton, NJ 08540
Phone (609) 924-2230

2346 Route 33
Ste E107A
Robbinsville, NJ 08691
Phone (609) 853-6400

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

Organizations & group practices 1

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 1

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1285660183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FORRESTAL RD S",
            "address_2": "SUITE 205",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406666",
            "telephone_number": "609-924-2230",
            "fax_number": "609-924-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FORRESTAL RD S",
            "address_2": "SUITE 205",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406666",
            "telephone_number": "609-924-2230",
            "fax_number": "609-924-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN RAALTE",
        "first_name": "HEATHER",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD426505",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA08415500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1360068",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2052999000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "03233300",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1084443",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00372672",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MCGEHEAN",
            "middle_name": "M",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.