Active NPI
John M Heath, MD
- Geriatric Medicine (Family Medicine) Physician
- Hackensack, NJ
National Provider Identifier
1487731170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- MA64534
- Practice address
- 360 Essex St Ste 401
Hackensack, NJ 07601-8566 - Phone
- (551) 996-1140
- NPI assigned
- Nov 1, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MA64534 | NJ | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | MA64534 | NJ | Primary |
Addresses
Primary practice location
360 Essex St Ste 401
Hackensack, NJ 07601-8566
Mailing address
6 Clark CT
Belle Mead, NJ 08502-4612
Phone (908) 874-0315
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7196806 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | John.Heath@direct.hackensackmeridian.org | Direct |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA64534 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Scleroderma Program | Past | Accepting new patients | |
| Meridian Medical Group - Specialty Care, PC | Family Medicine | Past | Accepting new patients |
| Snyder Randhawa, LLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- john.heath@direct.hackensackmeridian.org
Organizations & group practices 3
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.
-
dba Hackensack Meridian Medical Group - One Medical PC
- Family Medicine Physician
- Edgewater, NJ
- NPI 1275362105
-
- Gastroenterology Physician
- New Brunswick, NJ
- NPI 1265504849
-
dba Primary Care Center @ Hillsborough
- Family Medicine Physician
- Hillsborough, NJ
- NPI 1235225772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1487731170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 CLARK CT",
"city": "BELLE MEAD",
"state": "NJ",
"postal_code": "085024612",
"telephone_number": "908-874-0315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 ESSEX ST STE 401",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076018566",
"telephone_number": "551-996-1140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "JOHN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA64534",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NJ",
"license": "MA64534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7196806",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "John.Heath@direct.hackensackmeridian.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "360 Essex St Ste 401",
"city": "Hackensack",
"state": "NJ",
"country_code": "US",
"postal_code": "076018566",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.