Individual provider Active NPI

Jeffrey M Heftler, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Greenwich, CT
National Provider Identifier
1639142128
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
043021 Issued in CT
Practice address
6 Greenwich Office Park
Greenwich, CT 06831-5151
Phone
(203) 869-1145
Fax
(203) 618-1721
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 043021 CT Primary

Addresses

Primary practice location

6 Greenwich Office Park
Greenwich, CT 06831-5151

Mailing address

6 Greenwich Office Park
Greenwich, CT 06831-5151
Phone (203) 869-1145

Other identifiers 1

IdentifierTypeStateIssuer
P00640491OtherCTRAILROAD MEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041102000767 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 7517929458 Reassigns benefits to 1 organization
I20050210000438 CT Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 7517929458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Rutgers New Jersey Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic and Neurosurgery Specialists, PLLCGroup PAC ID 5294628947, 255 clinicians

Practice addresses (Care Compare)

500 Mamaroneck Ave
Harrison, NY 10528-1633
Phone (203) 869-1145

6 Greenwich Office Park
Greenwich, CT 06831-5151
Phone (203) 869-1145

Hospital & facility affiliations

  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018
  • Stamford Hospital Hospital, Stamford, CT, CCN 070006

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
82.55
Promoting interoperability
100
Improvement activities
40
Cost
64.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
043021CTMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Neurosurgery Specialists, PLLC Physical Medicine & Rehabilitation CurrentSince Feb 1, 2005 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Feb 1, 2005 Accepting new patients
Greenwich Hospital CurrentSince Feb 8, 2017 Accepting new patients
Greenwich Hospital CurrentSince Feb 8, 2017 Accepting new patients
Island Medical Pain Management Services PC Past Accepting new patients
Orlin & Cohen Orthopedic Associates, LLP PastSince Apr 21, 2003 Accepting new patients

Locations

6 Greenwich Office Park
#40
Greenwich, CT 06831
Phone (203) 869-1145

6 Greenwich Office Park
Greenwich, CT 06831
Phone (203) 869-1145

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

500 Mamaroneck Ave
Harrison, NY 10528
Phone (203) 869-1145

Interoperability endpoints

  • Direct secure messaging: jheftler@ons.emadirect.md

Organizations & group practices 6

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 2

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1639142128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GREENWICH OFFICE PARK",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315151",
            "telephone_number": "203-869-1145",
            "fax_number": "203-618-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GREENWICH OFFICE PARK",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315151",
            "telephone_number": "203-869-1145",
            "fax_number": "203-618-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFTLER",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "043021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00640491",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.