Active NPI
James Davidson Heffernan Jr.
- Certified Registered Nurse Anesthetist
- Lakewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ14870500
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
Enrollment records 5
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
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
- Westerly Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 164262 | TN | MD | Certified Registered Nurse Anesthetist |
| 20984 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia of New Jersey LLC | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northeast Medical Group, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Anesthesiologists, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Current | Accepting new patients | |
| Park Slope Anesthesia Associates PC | Current | 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.
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
Nurse Anesthetist, Certified Registered, RI
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1760468698
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1073619466
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Anesthesiology Physician
- Brick, NJ
- NPI 1548433048
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1245279777
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- West Palm Beach, FL
- NPI 1275105710
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1558479279
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Westerly, RI
- NPI 1447595368
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1265460232
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.