Individual provider Active NPI

Donald Eugene Heitman, M.D.

  • Orthopaedic Surgery Physician
  • New York, NY
National Provider Identifier
1780845636
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
241118 Issued in NY
Practice address
1000 10TH Ave Ste 2a-05
New York, NY 10019-1147
Phone
(212) 523-4000
NPI assigned
Jun 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 241118 NY Primary

Addresses

Primary practice location

1000 10TH Ave Ste 2a-05
New York, NY 10019-1147

Mailing address

1000 10TH Ave Ste 2a-05
New York, NY 10019-1147
Phone (212) 523-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120214000375 NY Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 0143487538 Reassigns benefits to 2 organizations
I20121220000286 NJ Practitioner - Orthopedic Surgery 0143487538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
New York University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
FJ Orthopaedics and Pain Management PLLCGroup PAC ID 9234290008, 11 clinicians
Jonathan Lewin MD PCGroup PAC ID 0042407033, 7 clinicians
Meeting House Lane Medical Practice PCGroup PAC ID 6800972589, 125 clinicians

Practice addresses (Care Compare)

1414 Newkirk Ave
Brooklyn, NY 11226-6599
Phone (718) 759-6100

177 N Dean St
West Englwood, NJ 07631-2533
Phone (201) 510-3777

240 Meeting House LN
Southampton, NY 11968-5009
Phone (631) 726-8400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Lewin MD PC Orthopaedic Surgery CurrentSince Jan 29, 2019 Accepting new patients
FJ Orthopaedics and Pain Management PLLC CurrentSince Jan 22, 2019 Accepting new patients
Ijkg Opco LLC Current Accepting new patients
Sovereign Medical Group LLC Past Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Past Accepting new patients
Gco, LLC Orthopaedic Surgery Past Accepting new patients
Gotham City Orthopedics,LLC Past Accepting new patients

Locations

177 N Dean St
Englewood, NJ 07631
Phone (201) 510-3777

177 N Dean St
Ste 301
Englewood, NJ 07631
Phone (201) 510-3777

177 N Dean St
Ste 202
Englewood, NJ 07631
Phone (201) 731-3507

1414 Newkirk Ave
Brooklyn, NY 11226
Phone (718) 434-4311

15816 79th Ave
Ste 1
Fresh Meadows, NY 11366

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: donald.heitman@direct.bayonnemedicalcenter.md

Organizations & group practices 8

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 4

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1780845636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE STE 2A-05",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147",
            "telephone_number": "212-523-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE STE 2A-05",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147",
            "telephone_number": "212-523-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITMAN",
        "first_name": "DONALD",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "241118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.