Heidi Ahlborn, M.D.
Individual provider Active NPI Case Manager/Care Coordinator · Ridgewood, NJ
NPI 1588063002 · NPPES record last updated Aug 20, 2014
Key facts
- NPI
- 1588063002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- MA 51043 (NJ)
- Practice address
- 310 Glenwood Rd
Ridgewood, NJ 07450-1332 - Phone
- (201) 445-1764
- NPI assigned
- Aug 20, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 51043 | NJ | MD | Case Manager/Care Coordinator |
Interoperability endpoints
- heidi.ahlborn.1@24719.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | MA 51043 | NJ | Yes |
Addresses
Primary practice location
310 Glenwood Rd
Ridgewood, NJ 07450-1332
Mailing address
310 Glenwood Rd
Ridgewood, NJ 07450-1332
Phone (201) 445-1764
Other providers in Ridgewood, NJ
- Advocare , LLC
- Advocare LLC
- Anastasia Agramonte
- Julia Agresti
- David Thomas Ahlborn
- Attiya Ahmad
- Albert R Wolyniec DC PA
- Rehan Ali
- Alima B. Farooki MD PC
- Allen Silverstein MD PA
All providers in Ridgewood, NJ · Case Manager/Care Coordinator in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.