Individual provider Active NPI

Naomi Heinemann, RN, CCRN, FNP

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1689920266
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F337014-1 Issued in NY
Practice address
4802 10TH Avenue
Brooklyn, NY 11219
Phone
(718) 283-6000
NPI assigned
Aug 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F337014-1 NY Primary

Addresses

Primary practice location

4802 10TH Avenue
Brooklyn, NY 11219

Mailing address

1075 Ocean Parkway
Apt. 5F
Brooklyn, NY 11230
Phone (917) 593-6871

Other names 1

  • Naomi Louk Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160209001195 NY Practitioner - Nurse Practitioner 0143524330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Medical Health PCGroup PAC ID 9032308267, 44 clinicians

Practice addresses (Care Compare)

661 N Main St
Spring Valley, NY 10977-2319
Phone (845) 354-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
F337014-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Health PC Family Medicine CurrentSince Dec 20, 2015 Accepting new patients
Care Connect Medical P.C. Family Medicine CurrentSince Sep 1, 2023 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

46 Mount Ebo Rd N
Brewster, NY 10509
Phone (718) 792-5900

7 Skyline Dr
Ste 250
Hawthorne, NY 10532

225 Maple Ave
Monsey, NY 10952
Phone (845) 352-9000

33 Downtown Dr
Monsey, NY 10952

15 Monsey Blvd
Monsey, NY 10952
Phone (845) 356-3400

661 N Main St
Spring Valley, NY 10977
Phone (845) 228-3350

476 Christian Herald Rd
Vly Cottage, NY 10989
Phone (845) 268-6861

89 S Route 9W
West Haverstraw, NY 10993
Phone (845) 426-6156

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1689920266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 OCEAN PARKWAY",
            "address_2": "APT. 5F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11230",
            "telephone_number": "917-593-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 10TH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-283-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINEMANN",
        "first_name": "NAOMI",
        "name_prefix": "Mrs.",
        "credential": "RN, CCRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "F337014-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAOMI",
            "last_name": "LOUK",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.