Active NPI
Philip A. Heller, M.D.
- Psychiatry Physician
- Colts Neck, NJ
National Provider Identifier
1528190840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA05478900
- Practice address
- 29 Route 34
Suite 103
Colts Neck, NJ 07722-1555 - Phone
- (732) 975-9760
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA05478900 | NJ | Primary |
Addresses
Primary practice location
29 Route 34
Suite 103
Colts Neck, NJ 07722-1555
Mailing address
29 Route 34
Suite 103
Colts Neck, NJ 07722-1555
Phone (732) 975-9760
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528190840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 ROUTE 34",
"address_2": "SUITE 103",
"city": "COLTS NECK",
"state": "NJ",
"postal_code": "077221555",
"telephone_number": "732-975-9760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 ROUTE 34",
"address_2": "SUITE 103",
"city": "COLTS NECK",
"state": "NJ",
"postal_code": "077221555",
"telephone_number": "732-975-9760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "PHILIP",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA05478900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colts Neck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.