Jon S Heist, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB05940000 Issued in NJ

Practice address

361 N Main St
Glassboro, NJ 08028-1920

Phone

(856) 881-8618

Fax

(856) 881-5368

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Redeemer Home Care NJ South Home health agency, Runnemede, NJ, CCN 317025
• Bayada at Inspira, Home Health and Hospice Home health agency, Millville, NJ, CCN 317089
• Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069
• West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Jon S Heist DO PA

  • Family Medicine Physician
  • Glassboro, NJ
  • NPI 1467467175
  Medicare reassignment NPD

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

• Holy Redeemer Home Care, Inc.

  • Home Health Agency
  • Runnemede, NJ
  • NPI 1730153479
  Care Compare affiliation
• Inspira Medical Centers, Inc.

  • General Acute Care Hospital
  • Elmer, NJ
  • NPI 1255396024
  Care Compare affiliation
• Inspira Medical Centers, Inc.

  • General Acute Care Hospital
  • Mullica Hill, NJ
  • NPI 1366097032
  Care Compare affiliation
• South Jersey Hospital, Inc.

  • Physical Therapy Clinic/Center
  • Mullica Hill, NJ
  • NPI 1609158732

  Hospital

  Care Compare affiliation
• Tri-County Home and Hospice Care,LLC

  • Home Health Agency
  • West Deptford, NJ
  • NPI 1629431481
  Care Compare affiliation
• Tri-County Home and Hospice Care,LLC

  • Home Health Agency
  • Millville, NJ
  • NPI 1710340575
  Care Compare affiliation
• Virtua - West Jersey Health System, Inc.

  • General Acute Care Hospital
  • Voorhees, NJ
  • NPI 1528064409
  Care Compare affiliation

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760501373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 N MAIN ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281920",
            "telephone_number": "856-881-8618",
            "fax_number": "856-881-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 N MAIN ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281920",
            "telephone_number": "856-881-8618",
            "fax_number": "856-881-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIST",
        "first_name": "JON",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB05940000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8091609",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Harrison
• Jessica Haurin
• Korinne Elizabeth Havers
• Lisa Beth Haya, LCSW
• Hazeley Supportive Housing Services LLC
• Sydney Helmick
• Elizabeth Megan Heyer, CRNP
• William Norman Higbee III, LCSW
• Grant Hildebrand, MA
• Lauren Hill, LCSW

• Family Medicine Physician in Glassboro, NJ
• Providers in Glassboro, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.