Jennifer Lynn Heimbauer, RPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

005029-1 Issued in NY

Practice address

156 Dartmouth Rd
Massapequa, NY 11758-8124

Phone

(516) 317-6350

NPI assigned

Feb 18, 2013

Last updated

Feb 18, 2013By the provider in NPPES

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 NY

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

Locations

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.

• North Shore Long Island Jewish Healthcare

  dba Northwell Healthcare Inc

  • Cardiovascular Disease Physician
  • Westbury, NY
  • NPI 1215019500
  Medicare reassignment NPD
• North Shore Long Island Jewish Health Care Inc

  • Internal Medicine Physician
  • New York, NY
  • NPI 1912338385
  NPD

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1689914350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 DARTMOUTH RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117588124",
            "telephone_number": "516-317-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 DARTMOUTH RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117588124",
            "telephone_number": "516-317-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMBAUER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "005029-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey D Hart, DO
• Lynn Annette Hart
• Artisha Haynes
• HC Chiropractic Imaging PC (MSK imaging group)
• David J. Hegarty, PH.D., LMFT
• Hematology and Oncology of Li PLLC
• Melissa Hendershot, MS ED
• Jenna C Henning, LCSW
• Shakiera M Henry
• Patricia Hernandez

• Medical Physician Assistant in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.