Active NPI
Ryan Daniel Heinz, DC
- Chiropractor
- Lodi, NJ
National Provider Identifier
1366938748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12963
- Practice address
- 1 S Main St Ste 1
Lodi, NJ 07644-2235 - Phone
- (973) 472-7465
- NPI assigned
- Jul 9, 2018
- Last updated
- Jun 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH12963 | FL | Primary |
Addresses
Primary practice location
1 S Main St Ste 1
Lodi, NJ 07644-2235
Mailing address
44 Weston Cir
Ponte Vedra, FL 32081-0650
Phone (904) 210-5313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
360 Town Plaza Ave
Suite 330
Ponte Vedra, FL 32081-5175
Phone (904) 210-5313
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH12963 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Institute of North Jersey | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Jacksonville, FL
- NPI 1831739317
-
dba Dr Robert A Siconolfi, INC
- Specialist
- Lodi, NJ
- NPI 1316174238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1366938748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 WESTON CIR",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320810650",
"telephone_number": "904-210-5313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S MAIN ST STE 1",
"city": "LODI",
"state": "NJ",
"postal_code": "076442235",
"telephone_number": "973-472-7465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINZ",
"first_name": "RYAN",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-09",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lodi, NJ
- Guido & Bair, L.L.C.
- Preeti P Guido, D.M.D.
- Hackensack Meridian Ambulatory Care, Inc. (Hackensack Meridian at Home Infusion)
- Kelly H Hahn, ACP
- Health Innovations Unlimited, Inc.
- James Michael Manansala Hernandez, PT
- Emily Hewett, OTR/L
- Imperial Vista Health Care Staffing, LLC
- In Tandem Therapeutic Services
- Inserra Supermarket Inc (ShopRite Pharmacy of Lodi)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.