Donna M Heinzen, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00037900 Issued in NJ

Practice address

905 Bloomfield Ave
Glen Ridge, NJ 07028-1329

Phone

(973) 715-2176

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545
  Medicare reassignment
• Jersey City Medical Center

  • Emergency Medicine Physician
  • Jersey City, NJ
  • NPI 1053350421
  NPD (past)
• Neighborhood Urgent Care

  • Urgent Care Clinic/Center
  • Whippany, NJ
  • NPI 1881126340
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1649366162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 273",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079810273",
            "telephone_number": "973-535-8355",
            "fax_number": "973-535-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 BLOOMFIELD AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281329",
            "telephone_number": "973-715-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZEN",
        "first_name": "DONNA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00037900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A. Green, M.D.
• Anjali Grover, M.D.
• Daniela Guimaraes, APN
• Jeremie Hafitz, MS, MPHIL, C.C.C.
• Health Essentials Plus
• Robert Hertel, PHD
• Christina Marie Hess, NP
• Kenneth Neil Holwitt, M.D.
• Eliza Howland
• John J Imbesi, M.D.

• Physician Assistant in Glen Ridge, NJ
• Providers in Glen Ridge, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.