Individual provider Active NPI

Mark Neil Heiberger, D.D.S.

  • Dentist
  • East Brunswick, NJ
National Provider Identifier
1356451744
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Practice address
A2 Cornwall CT
East Brunswick, NJ 08816-3352
Phone
(732) 254-7733
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NJ Primary

Addresses

Primary practice location

A2 Cornwall CT
East Brunswick, NJ 08816-3352

Mailing address

A2 Cornwall CT
East Brunswick, NJ 08816-3352
Phone (732) 254-7733

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150528001517 NJ Order and Referring Only - DentistPractitioner - Dentist 6608196902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DIO1541601NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Abramowitz,Leizer,Sorkin,DMD PA 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356451744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A2 CORNWALL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163352",
            "telephone_number": "732-254-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A2 CORNWALL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163352",
            "telephone_number": "732-254-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIBERGER",
        "first_name": "MARK",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.