Gregory Heifler, MD, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA064696 Issued in NJ

Legal business name

GREGORY HEIFLER, MD, PA

Practice address

103 Park St
Building B
Montclair, NJ 07042-5913

Phone

(973) 275-1860

NPI assigned

Jul 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Heifler, MDNPI 1902998685

Title

Owner

Phone

(973) 275-1860

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory D Heifler, MD

  • Family Medicine Physician
  • Montclair, NJ
  • NPI 1902998685
  Medicare reassignment NPD Authorized official
• Francis Berlingeri, MD

  • Internal Medicine Physician
  • Montclair, NJ
  • NPI 1851498463
  NPD (past)
• Wendy Gavin Newman, LCSW

  • Clinical Social Worker
  • Montclair, NJ
  • NPI 1043535321
  NPD (past)
• Gloria Susan Simon

  • Social Worker
  • Kissimmee, FL
  • NPI 1942487301
  NPD (past)

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437357944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 TURLINGTON CT",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070398267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PARK ST",
            "address_2": "BUILDING B",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070425913",
            "telephone_number": "973-275-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY HEIFLER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEIFLER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-275-1860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA064696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Lee Gravenese, MS, RD
• Susan L Graziano, NP
• Great Atlantic & Pacific Tea Company Inc
• Amy Green, M.D.
• Cynthia Rachel Green, PH.D.
• John Gribbon, M.D.
• Amanda Griglack, MA, CCC-SLP
• Tara Elizabeth Griswold, LCSW
• Stephen A Grochmal, M.D.
• Elizabeth Groisser, PSYD

• Family Medicine Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Family Medicine Physician in New Jersey

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

Verify at the official NPI Registry.