Active NPI
Joseph P Heimbauer, PA
- Physician Assistant
- Garden City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 005635
- Practice address
- 1305 Franklin Ave
Suite 100
Garden City, NY 11530-1657 - Phone
- (516) 746-5550
- Fax
- (516) 746-9641
- NPI assigned
- Aug 23, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 005635 | NY | Primary |
Addresses
Primary practice location
1305 Franklin Ave
Suite 100
Garden City, NY 11530-1657
Mailing address
532 Broadhollow Rd
Suite 142
Melville, NY 11747-3672
Phone (516) 931-0041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1305 Franklin Ave
Suite 100
Garden City, NY 11530-1630
Phone (516) 746-5550
340 Broadhollow Rd
Suite E
Farmingdale, NY 11735-4807
Phone (516) 280-7930
4100 Duff PL
A
Seaford, NY 11783-1324
Phone (516) 520-8080
Hospital & facility affiliations
- North Shore University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.57 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005635 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Medical Professionals PLLC | Current | Accepting new patients | |
| Integrated Medical Professionals PLLC | Current | Accepting new patients | |
| Integrated Medical Professionals PLLC | Past | Accepting new patients |
Locations
340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041
1305 Franklin Ave
Ste 100
Garden City, NY 11530
Phone (516) 746-5550
4100 Duff Pl
#A
Seaford, NY 11783
Phone (516) 520-8080
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- josephheimbauer@imppllc.allscriptsdirect.net
- jheimbauer308142@nyumc.direct-ci.com
Organizations & group practices 3
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.
-
- Urology Physician
- Lake Success, NY
- NPI 1346203536
-
- Durable Medical Equipment & Medical Supplies
- New York, NY
- NPI 1295534626
-
- Non-Pharmacy Dispensing Site
- New Hyde Park, NY
- NPI 1073918009
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1881900363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 BROADHOLLOW RD",
"address_2": "SUITE 142",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473672",
"telephone_number": "516-931-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 FRANKLIN AVE",
"address_2": "SUITE 100",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115301657",
"telephone_number": "516-746-5550",
"fax_number": "516-746-9641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIMBAUER",
"first_name": "JOSEPH",
"middle_name": "P",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-23",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "005635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.