Andrew S Heller, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA04624200 Issued in NJ

Practice address

907 N Main Rd
BLDG C
Vineland, NJ 08360-8200

Phone

(856) 692-7228

Fax

(856) 692-4155

NPI assigned

Apr 28, 2006

Sex

Male

Sole proprietor

No

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.

• Certified Surgical Specialists of South Jersey, PA

  • Surgery Physician
  • Vineland, NJ
  • NPI 1629131271

  Surgery

  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376500702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N MAIN RD",
            "address_2": "BLDG C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608200",
            "telephone_number": "856-692-7228",
            "fax_number": "856-692-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N MAIN RD",
            "address_2": "BLDG C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608200",
            "telephone_number": "856-692-7228",
            "fax_number": "856-692-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "ANDREW",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA04624200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0238601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Vineland, NJ
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.