Individual provider Active NPI

Heidi Fyrberg, PA-C

  • Surgical Physician Assistant
  • New Windsor, NY
National Provider Identifier
1699895672
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
005916 Issued in NY
Practice address
831 Little Britain Rd
New Windsor, NY 12553-5518
Phone
(845) 446-1100
Fax
(845) 446-4581
NPI assigned
Mar 31, 2007
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA100180 MA
Surgical Physician Assistant 363AS0400X 005916 NY Primary

Addresses

Primary practice location

831 Little Britain Rd
New Windsor, NY 12553-5518

Mailing address

695 US Highway 46 Ste 400a
Fairfield, NJ 07004-1568
Phone (973) 894-1263

Other practice location 1

14 Prospect St
Milford, MA 01757-3003
Phone (508) 473-1190

Other identifiers 2

IdentifierTypeStateIssuer
A400118590OtherNYPTAN QSNY1
A400123912OtherNYMCARE PTAN QSNY2

Other names 1

  • Heidi Cohen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040707000666 NY Practitioner - Physician Assistant 2365429305 Reassigns benefits to 1 organization
I20260105001607 MA Practitioner - Physician Assistant 2365429305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

281 Lincoln St
Worcester, MA 01605-2192

4 Jacobs LN
Southborough, MA 01772-1463

PO Box
Boston, MA 02241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA100180MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Heidi Fyrberg Physician Assistant PC Surgical Current Accepting new patients
No. Shore Emergency Med at Forest Hill Past Accepting new patients
New York Cardiovascular Anesthesiologists, P.C. Past Accepting new patients

Locations

14 Prospect St
Milford, MA 01757
Phone (508) 422-2343

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: hfyrbergcohen308087@nyumc.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1699895672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 US HIGHWAY 46 STE 400A",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041568",
            "telephone_number": "973-894-1263",
            "fax_number": "888-972-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 LITTLE BRITAIN RD",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535518",
            "telephone_number": "845-446-1100",
            "fax_number": "845-446-4581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Prospect St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "MA",
            "postal_code": "017573003",
            "country_code": "US",
            "telephone_number": "508-473-1190",
            "fax_number": "508-473-7198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FYRBERG",
        "first_name": "HEIDI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA100180",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "005916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN QSNY1",
            "identifier": "A400118590",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE PTAN QSNY2",
            "identifier": "A400123912",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "COHEN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Windsor, NY

Sources for this page

Verify at the official NPI Registry.