Individual provider Active NPI

Brendan Heitz, PHYSICIAN ASSISTANT

  • Physician Assistant
  • New York, NY
National Provider Identifier
1306486196
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
570 1St Ave
New York, NY 10016-6512
Phone
(212) 562-3346
NPI assigned
Jan 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9116945 FL
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

570 1St Ave
New York, NY 10016-6512

Mailing address

819 NE 199TH St Apt 105
Miami, FL 33179-5844

Other practice location 1

100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone (315) 292-4139

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bheitz485542@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200417001440 NY Practitioner - Physician Assistant 6800226663 Reassigns benefits to 6 organizations
I20230421001102 FL Practitioner - Physician Assistant 6800226663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.84 of 100Reported as group
Quality
86.07
Improvement activities
40
Cost
75.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
024690NYMDMassage Therapist
PA9116945FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
New York University CurrentSince Dec 15, 2021 Accepting new patients
St Francis Hospital United States Catholic Conference CurrentSince Mar 1, 2020 Accepting new patients
Mercy Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Mercy Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Cep America LLC CurrentSince Jan 1, 2026 Accepting new patients
St. Francis Hospital CurrentSince Mar 1, 2020 Accepting new patients
New York University CurrentSince Dec 15, 2021 Accepting new patients
Guidewell Sanitas I, LLC CurrentSince Aug 20, 2024 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

180 SW 84th Ave
Plantation, FL 33324
Phone (954) 271-2855

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1306486196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 NE 199TH ST APT 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331795844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166512",
            "telephone_number": "212-562-3346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Port Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Roslyn",
            "state": "NY",
            "postal_code": "115761347",
            "country_code": "US",
            "telephone_number": "315-292-4139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEITZ",
        "first_name": "BRENDAN",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-09",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116945",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bheitz485542@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "570 1st Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100166512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.