NPIMap

Individual provider Active NPI

Jeffrey A. Heebner

  • Family Medicine Physician
  • Conshohocken, PA
National Provider Identifier
1699712968
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS009112L Issued in PA
Practice address
103 E 5TH Ave
Conshohocken, PA 19428-1712
Phone
(610) 828-6990
Fax
(610) 828-7364
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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 OS009112L PA Primary

Addresses

Primary practice location

103 E 5TH Ave
Conshohocken, PA 19428-1712

Mailing address

103 E 5TH Ave
Conshohocken, PA 19428-1712
Phone (610) 828-6990

Other identifiers 1

IdentifierTypeStateIssuer
64664OtherPAAOA NUMBER

Other names 1

  • Dr. Jeffrey A. Heebner Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120313000338 PA Practitioner - Family PracticePractitioner - Geriatric Medicine 1254590136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Philadelphia College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nicholson Medical Associates,P.C.Group PAC ID 8426037581, 2 clinicians

Practice addresses (Care Compare)

103 E 5TH Ave
Conshohocken, PA 19428-1712
Phone (610) 828-6990

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Newtown, PA, CCN 397015
  • Jefferson Health at Home by Bayada Home health agency, Horsham, PA, CCN 397145
  • Crossroads Hospice of Philadelphia Hospice, Plymouth Meeting, PA, CCN 391679
  • Penn Medicine Hospice Hospice, Bala Cynwyd, PA, CCN 391501
  • Nazareth Hospital Hospital, Philadelphia, PA, CCN 390204
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
  • Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
  • Saint Joseph Villa Nursing home, Flourtown, PA, CCN 395278

Merit-based Incentive Payment System (MIPS)

Final score
22.61 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Hospice of Philadelphia Family Medicine CurrentSince Nov 10, 2021 Accepting new patients
Nicholson Medical Associates,P.C. Family Medicine CurrentSince Jul 15, 1999 Accepting new patients
Saint Joseph Villa Past Accepting new patients

Locations

103 E 5th Ave
Conshohocken, PA 19428
Phone (215) 828-5990

523 Plymouth Rd
Ste 225
Plymouth Mtng, PA 19462
Phone (215) 956-5110

Organizations & group practices 3

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1699712968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E 5TH AVE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281712",
            "telephone_number": "610-828-6990",
            "fax_number": "610-828-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E 5TH AVE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281712",
            "telephone_number": "610-828-6990",
            "fax_number": "610-828-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEEBNER",
        "first_name": "JEFFREY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS009112L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AOA NUMBER",
            "identifier": "64664",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "HEEBNER",
            "middle_name": "A.",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Conshohocken, PA

Sources for this page

Verify at the official NPI Registry.