Individual provider Active NPI

Jennifer M Heinegg, M.D.

  • Family Medicine Physician
  • Larchmont, NY
National Provider Identifier
1336454602
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
257743-1 Issued in NY
Practice address
1890 Palmer Ave Ste 304
Larchmont, NY 10538-3031
Phone
(914) 834-9606
Fax
(914) 834-0648
NPI assigned
Aug 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 257743-1 NY Primary

Addresses

Primary practice location

1890 Palmer Ave Ste 304
Larchmont, NY 10538-3031

Mailing address

1890 Palmer Ave Ste 304
Larchmont, NY 10538-3031
Phone (914) 834-9606

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
257743-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vepema Medical Group Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1336454602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 PALMER AVE STE 304",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383031",
            "telephone_number": "914-834-9606",
            "fax_number": "914-834-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 PALMER AVE STE 304",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383031",
            "telephone_number": "914-834-9606",
            "fax_number": "914-834-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINEGG",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "257743-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.