Individual provider Active NPI

David P Heller, DPM

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1790780575
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N002579 Issued in NY
Practice address
807A Utica Ave
Brooklyn, NY 11203-3410
Phone
(718) 345-8923
Fax
(718) 342-7111
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N002579 NY Primary

Addresses

Primary practice location

807A Utica Ave
Brooklyn, NY 11203-3410

Mailing address

26 Renaissance Blvd
Somerset, NJ 08873-6034
Phone (908) 770-8158

Other identifiers 1

IdentifierTypeStateIssuer
00413552MedicaidNY

Other names 1

  • Dr. David P Heller Professional name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929000908 NJ Practitioner - Podiatry 1052380771 Reassigns benefits to 1 organization
Practice locations: Monroe, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Foot Care Services LLCGroup PAC ID 1850587528, 15 clinicians

Practice addresses (Care Compare)

146 Hillcrest Rd
Watchung, NJ 07069-6053
Phone (877) 417-3668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of nail tissue379
Removal or shaving of skin growth276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N002579NYMDPodiatrist
002579NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Foot Care Services LLC CurrentSince Mar 1, 2018 Accepting new patients
Natalie Medical PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1790780575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 RENAISSANCE BLVD",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088736034",
            "telephone_number": "908-770-8158",
            "fax_number": "732-873-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807A UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033410",
            "telephone_number": "718-345-8923",
            "fax_number": "718-342-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N002579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00413552",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "HELLER",
            "middle_name": "P",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.