Individual provider Active NPI

Heather E Manspeizer, MD

  • Specialist
  • Elmwood Park, NJ
National Provider Identifier
1639305634
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07318800 Issued in NJ
Practice address
619 River Dr
Elmwood Park, NJ 07407-1317
Phone
(201) 703-2900
NPI assigned
Jun 4, 2009
Last updated
Jun 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA07318800 NJ Primary

Addresses

Primary practice location

619 River Dr
Elmwood Park, NJ 07407-1317

Mailing address

PO Box 280
Milltown, NJ 08850-0280
Phone (800) 738-1659

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110524000329 NJ Practitioner - Anesthesiology 4789860941 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Icahn School of Medicine at Mount Sinai, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay AnesthesiaGroup PAC ID 0446639306, 75 clinicians

Practice addresses (Care Compare)

561 Cranbury Rd
East Brunswick, NJ 08816-5400
Phone (201) 620-3010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Anesthesia LLC CurrentSince Dec 16, 2024 Accepting new patients
Pain Management Institute PA CurrentSince Jul 9, 2011 Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients

Locations

561 Cranbury Rd
East Brunswick, NJ 08816
Phone (201) 620-3010

619 River Dr
Elmwood Park, NJ 07407
Phone (201) 703-2900

18 Mule Rd
Toms River, NJ 08755
Phone (201) 703-2900

3127 41st St
Astoria, NY 11103
Phone (212) 353-9443

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1639305634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088500280",
            "telephone_number": "800-738-1659",
            "fax_number": "704-871-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 RIVER DR",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071317",
            "telephone_number": "201-703-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSPEIZER",
        "first_name": "HEATHER",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07318800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, NJ

Sources for this page

Verify at the official NPI Registry.