Individual provider Active NPI

Jon Ian Heller

  • Podiatrist
  • Totowa, NJ
National Provider Identifier
1548294663
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD02274 Issued in NJ
Practice address
384 Union Blvd
Totowa, NJ 07512-2561
Phone
(973) 389-9000
Fax
(973) 389-9011
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD02274 NJ Primary

Addresses

Primary practice location

384 Union Blvd
Totowa, NJ 07512-2561

Mailing address

384 Union Blvd
Totowa, NJ 07512-2561
Phone (973) 389-9000

Other identifiers 1

IdentifierTypeStateIssuer
7637306MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090518000166 NJ Practitioner - Podiatry 1355490608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

384 Union Blvd
Totowa, NJ 07512-2561
Phone (973) 389-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.28 of 100Reported as individual
Quality
95.78
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue2854
Removal of skin lesions13
Removal of nail tissue2538
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD02274NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jon I.Heller ,Inc Podiatrist CurrentSince May 1, 1998 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jon.heller.1@20642.direct.athenahealth.com

Organizations & group practices 1

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 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1548294663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122561",
            "telephone_number": "973-389-9000",
            "fax_number": "973-389-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122561",
            "telephone_number": "973-389-9000",
            "fax_number": "973-389-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "JON",
        "middle_name": "IAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD02274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7637306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

Verify at the official NPI Registry.