Heather L Gamble, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

18KT00666400 Issued in NJ

Practice address

121 W Wisteria Rd
Wildwood Crest, NJ 08260-1204

Phone

(610) 507-1718

NPI assigned

Jun 6, 2012

Last updated

Jun 11, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Heather L Hofmann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1730440728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W WISTERIA RD",
            "city": "WILDWOOD CREST",
            "state": "NJ",
            "postal_code": "082601204",
            "telephone_number": "610-507-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W WISTERIA RD",
            "city": "WILDWOOD CREST",
            "state": "NJ",
            "postal_code": "082601204",
            "telephone_number": "610-507-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "HEATHER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "18KT00666400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HOFMANN",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Borough of Wildwood Crest
• David Warren Burdette, DDS
• Diamond Beach Dental
• Kenneth E Cramer MD LLC
• Michael S. Kocinski, D.O.
• John Francis Lewis, D.D.S.
• Scott Maslow, DMD
• Melissa J Long (Longevity Pelvic Health and Wellness)

• Specialist in Wildwood Crest, NJ
• Providers in Wildwood Crest, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.