Amber Heath, DAT, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00234700 Issued in NJ

Practice address

303 University Ave
Newark, NJ 07102-1798

Phone

(975) 877-1850

NPI assigned

Feb 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613779200000",
    "number": "1548854581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOFFMAN BLVD APT 3C",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011555",
            "telephone_number": "757-618-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 UNIVERSITY AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021798",
            "telephone_number": "975-877-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "AMBER",
        "name_prefix": "Dr.",
        "credential": "DAT, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-20",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "003096",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00234700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOLINGER",
            "identifier": "BOL0000182",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthfirst Health Plan of New Jersey
• Healthy Life Physicians Group, P.C.
• Healthy Life Physicians Group, P.C.
• Hearts That Care LLC
• Robert Francis Heary, M.D.
• Dillon Hebertson, DDS
• Kelsey Megen Heckmann
• Marian Heenehan, APRN
• Ericka Yvonne Heggins, PT
• Gary Martin Heir, DMD

• Athletic Trainer in Newark, NJ
• Providers in Newark, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.