Jane M Heaney DO PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS 005958-L Issued in PA

Legal business name

JANE M HEANEY DO PC

Practice address

110 Levering St
Philadelphia, PA 19127-1404

Phone

(215) 483-7200

Fax

(215) 483-2122

NPI assigned

Jun 28, 2007

Organization subpart

No

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

Authorized official

Name

Jane M Heaney, D.O.

Title

President Owner

Phone

(215) 483-7200

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659578151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 GYPSY LN UNIT 405",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191295426",
            "telephone_number": "215-848-4062",
            "fax_number": "215-848-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LEVERING ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191271404",
            "telephone_number": "215-483-7200",
            "fax_number": "215-483-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE M HEANEY DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEANEY",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "215-483-7200",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS 005958-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2258275001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4547198",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118925-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arif M Jan, MD
• Rehana A. Jan, M.D.
• Jana Pharmacy Inc.
• Jaya Janadhyala
• Arun Janakiraman, M.D.
• Michael John Janeczko, MD
• David H Jang, MD
• Hoonji Jang, DDS, MS
• Jaewon Jang, PHARMD
• Lisa Jang, RN, BSN, MSN

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.