Active NPI
Jeannine Heitmann, DO
- Sports Medicine (Emergency Medicine) Physician
- Valley Stream, NY
National Provider Identifier
1861444358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Emergency Medicine) Physician
- License
- 206947
- Practice address
- 900 Franklin Ave
Franklin Hospital Emergency Dept.
Valley Stream, NY 11580-2145 - Phone
- (516) 256-6353
- Fax
- (516) 256-6347
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | 206947 | NY | Primary |
Addresses
Primary practice location
900 Franklin Ave
Franklin Hospital Emergency Dept.
Valley Stream, NY 11580-2145
Mailing address
900 Franklin Ave
Franklin Hospital Emergency Dept.
Valley Stream, NY 11580-2145
Phone (516) 256-6353
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)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Emergency Care PC | Past | Accepting new patients | |
| Maimonides Medical Center - MMC Emergency Physicians FPP | 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.
-
- Emergency Medicine Physician
- Rockville Center, NY
- NPI 1063464568
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1982708202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1861444358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 FRANKLIN AVE",
"address_2": "FRANKLIN HOSPITAL EMERGENCY DEPT.",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115802145",
"telephone_number": "516-256-6353",
"fax_number": "516-256-6347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 FRANKLIN AVE",
"address_2": "FRANKLIN HOSPITAL EMERGENCY DEPT.",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115802145",
"telephone_number": "516-256-6353",
"fax_number": "516-256-6347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEITMANN",
"first_name": "JEANNINE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "NY",
"license": "206947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.