Active NPI
Marc Heller, MD
- Obstetrics & Gynecology Physician
- Schenectady, NY
National Provider Identifier
1386739431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 122543-1
- Practice address
- 1040 State Street
Schenectady, NY 12307-1508 - Phone
- (518) 374-5353
- Fax
- (518) 377-2517
- NPI assigned
- Oct 4, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 122543-1 | NY | Primary |
Addresses
Primary practice location
1040 State Street
Schenectady, NY 12307-1508
Mailing address
1040 State Street
Schenectady, NY 12307-1508
Phone (518) 374-5353
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P010122543 | Other | NY | EXCELLUS BLUE CROSS |
| 0016349 | Other | NY | GHI |
| 156881 | Other | NY | MVP HEALTH PLAN |
| 06000122543 | Medicaid | NY | |
| 10032170 | Other | NY | CDPHP |
| MH0467C710 | Other | NY | EMPIRE BLUE CROSS |
| 004711832 | Other | NY | BLUE SHIELD NORTHEASTERN |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122543 | NY | MD | Social Worker |
| 122543-1 | NY | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1386739431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 STATE STREET",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123071508",
"telephone_number": "518-374-5353",
"fax_number": "518-377-2517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 STATE STREET",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123071508",
"telephone_number": "518-374-5353",
"fax_number": "518-377-2517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "MARC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "122543-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS BLUE CROSS",
"identifier": "P010122543",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0016349",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH PLAN",
"identifier": "156881",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06000122543",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10032170",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "MH0467C710",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD NORTHEASTERN",
"identifier": "004711832",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.