Organization Active NPI

Ellen J. Heuman D.D.S

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1295993319
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
035899 Issued in NY
Legal business name
ELLEN J. HEUMAN D.D.S
Practice address
865 Flatbush Ave
Brooklyn, NY 11226-3105
Phone
(718) 856-9500
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Ellen J. Heuman, D.D.S
Title
Owner
Phone
(718) 856-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 035899 NY Primary

Addresses

Primary practice location

865 Flatbush Ave
Brooklyn, NY 11226-3105

Mailing address

PO Box 260320
Brooklyn, NY 11226-0320
Phone (718) 856-9500

Other identifiers 1

IdentifierTypeStateIssuer
00677830MedicaidNY

National Provider Directory

National Provider Directory

Locations

865 Flatbush Ave
Brooklyn, NY 11226
Phone (718) 856-9500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1295993319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260320",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112260320",
            "telephone_number": "718-856-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263105",
            "telephone_number": "718-856-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN J. HEUMAN D.D.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "HEUMAN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-856-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "035899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00677830",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.