Active NPI
Frederic Marc Heitzer, MD
- Internal Medicine Physician
- Freehold, NJ
National Provider Identifier
1750499034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA04253000
- Practice address
- 55 Schanck Road
Suite a-12
Freehold, NJ 07728-2963 - Phone
- (732) 577-5525
- Fax
- (732) 577-0045
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA04253000 | NJ | Primary |
Addresses
Primary practice location
55 Schanck Road
Suite a-12
Freehold, NJ 07728-2963
Mailing address
55 Schanck Road
Suite a-12
Freehold, NJ 07728-2963
Phone (732) 577-5525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1429604 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041104000687 | NJ | Practitioner - Internal Medicine | 6709849466 | Practice locations: Freehold, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
55 Schanck Rd
Freehold, NJ 07728-2963
Phone (732) 577-5525
Hospital & facility affiliations
- Hackensack Meridian at Home Monmouth County
- Centrastate Medical Center
- Ocean Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA04253000 | NJ | MD | Internal Medicine Physician |
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Neptune, NJ
- NPI 1528143336
-
- General Acute Care Hospital
- Freehold, NJ
- NPI 1295718450
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190332800000",
"number": "1750499034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 SCHANCK ROAD",
"address_2": "SUITE A-12",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282963",
"telephone_number": "732-577-5525",
"fax_number": "732-577-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 SCHANCK ROAD",
"address_2": "SUITE A-12",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282963",
"telephone_number": "732-577-5525",
"fax_number": "732-577-0045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEITZER",
"first_name": "FREDERIC",
"middle_name": "MARC",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2007-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA04253000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1429604",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.