Organization Active NPI

Frederick W. Heggan, D.O. P.a.

  • Family Medicine Physician
  • Ocean City, NJ
National Provider Identifier
1659393585
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB02587100 Issued in NJ
Legal business name
FREDERICK W. HEGGAN, D.O. P.A.
Practice address
3320 Simpson Ave
Traders Lane
Ocean City, NJ 08226-2044
Phone
(609) 814-9550
Fax
(609) 814-9544
NPI assigned
Jul 23, 2006
Last updated
Jul 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Frederick W. Heggan, D.O.
Title
Owner
Phone
(609) 814-9550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB02587100 NJ Primary

Addresses

Primary practice location

3320 Simpson Ave
Traders Lane
Ocean City, NJ 08226-2044

Mailing address

3320 Simpson Ave
Traders Lane
Ocean City, NJ 08226-2044
Phone (609) 814-9550

Other identifiers 10

IdentifierTypeStateIssuer
7059108MedicaidNJ
080138059OtherNJRAILROAD MEDICARE
1078905OtherNJHORIZON MERCY HEALTH PLAN
P418240OtherNJOXFORD
7059108OtherNJAMERIGROUP
0535261OtherNJAETNA US HEALTHCARE
16712OtherNJUNIVERSITY HEALTH PLANS
0183776001OtherNJAMERIHEALTH
379996OtherNJKEYSTONE HEALTH PLAN EAST
452052OtherPAPENNSYLVANIA BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3320 Simpson Ave
Ocean City, NJ 08226
Phone (609) 398-4010

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1659393585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 SIMPSON AVE",
            "address_2": "TRADERS LANE",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082262044",
            "telephone_number": "609-814-9550",
            "fax_number": "609-814-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 SIMPSON AVE",
            "address_2": "TRADERS LANE",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082262044",
            "telephone_number": "609-814-9550",
            "fax_number": "609-814-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK W. HEGGAN, D.O. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "HEGGAN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-814-9550",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB02587100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7059108",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080138059",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON MERCY HEALTH PLAN",
            "identifier": "1078905",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P418240",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "7059108",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "0535261",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLANS",
            "identifier": "16712",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0183776001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "379996",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BLUE SHIELD",
            "identifier": "452052",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.