Individual provider Active NPI

Patti Heisler, DDS

  • General Practice Dentistry
  • Union City, NJ
National Provider Identifier
1831352699
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI01839600 Issued in NJ
Practice address
3700 Kennedy Blvd
Union City, NJ 07087-2993
Phone
(201) 866-3737
Fax
(201) 866-6266
NPI assigned
Jul 2, 2008
Last updated
Jul 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI01839600 NJ Primary

Addresses

Primary practice location

3700 Kennedy Blvd
Union City, NJ 07087-2993

Mailing address

3700 Kennedy Blvd
Union City, NJ 07087-2993
Phone (201) 866-3737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DI01839600NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Dental Care General Practice PastSince Nov 29, 2020 Accepting new patients
Children's Dental Center, PA 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1831352699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 KENNEDY BLVD",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872993",
            "telephone_number": "201-866-3737",
            "fax_number": "201-866-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 KENNEDY BLVD",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872993",
            "telephone_number": "201-866-3737",
            "fax_number": "201-866-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISLER",
        "first_name": "PATTI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI01839600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.