Individual provider Active NPI

James Davidson Heffernan Jr.

  • Certified Registered Nurse Anesthetist
  • Lakewood, NJ
National Provider Identifier
1407214224
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ14870500 Issued in NJ
Practice address
360 Route 70
Lakewood, NJ 08701-5823
Phone
(732) 942-9835
NPI assigned
Feb 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 164262 TN
Certified Registered Nurse Anesthetist 367500000X 20984 TN
Certified Registered Nurse Anesthetist 367500000X 26NJ14870500 NJ Primary

Addresses

Primary practice location

360 Route 70
Lakewood, NJ 08701-5823

Mailing address

1924 Alcoa Hwy
Box U109
Knoxville, TN 37920-1511
Phone (865) 305-9220

Other practice location 1

341 Trane Dr
Knoxville, TN 37919-6053
Phone (865) 588-0880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, RI, NJ, NY, FL5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20160404000847 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274830468 Reassigns benefits to 2 organizations
I20210127001445 RI Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274830468 Reassigns benefits to 1 organization
I20231030000298 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274830468
I20250528000579 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274830468 Reassigns benefits to 1 organization
I20250723001733 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274830468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

201 E Sample Rd
Deerfield Beach, FL 33064-3502
Phone (954) 939-5000

25 Wells St
Westerly, RI 02891-2922
Phone (401) 596-6000

Hospital & facility affiliations

  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200
  • Westerly Hospital Hospital, Westerly, RI, CCN 410013

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
164262TNMDCertified Registered Nurse Anesthetist
20984TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia of New Jersey LLC CurrentSince Sep 16, 2023 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Northeast Medical Group, Inc. Nurse Anesthetist, Certified Registered CurrentSince May 27, 2023 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
University Anesthesiologists, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2016 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Park Slope Anesthesia Associates PC CurrentSince Apr 1, 2025 Accepting new patients
University Anesthesiologists, PLLC Past Accepting new patients

Locations

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

517 Route 1 S
Ste 3050
Iselin, NJ 08830
Phone (732) 820-9580

360 Route 70
Lakewood, NJ 08701
Phone (732) 367-3050

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

22 Ibm Rd
Ste 210
Poughkeepsie, NY 12601

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

45 East Ave
Westerly, RI 02891
Phone (401) 596-6000

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

1924 Alcoa Hwy
#U109
Knoxville, TN 37920
Phone (865) 305-9220

341 Trane Dr
Knoxville, TN 37919
Phone (865) 588-0880

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1407214224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "address_2": "BOX U109",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 ROUTE 70",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015823",
            "telephone_number": "732-942-9835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 Trane Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379196053",
            "country_code": "US",
            "telephone_number": "865-588-0880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEFFERNAN",
        "first_name": "JAMES",
        "middle_name": "DAVIDSON",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-08",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "164262",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "20984",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ14870500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.

Verify at the official NPI Registry.