Heather C. Williamson, MD, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000730-P.A. Issued in PR

Practice address

57 Willis Dr
West Trenton, NJ 08628

Phone

(609) 712-2522

NPI assigned

Sep 9, 2020

Last updated

Sep 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1891300612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WILLIS DR",
            "city": "WEST TRENTON",
            "state": "NJ",
            "postal_code": "08628",
            "telephone_number": "609-712-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 WILLIS DR",
            "city": "WEST TRENTON",
            "state": "NJ",
            "postal_code": "08628",
            "telephone_number": "609-712-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "HEATHER",
        "middle_name": "C.",
        "credential": "MD, PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "000730-P.A.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HeatherHughesMD@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "57 Willis Dr",
            "city": "West Trenton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Lee Stoneking, PT
• Matthew Toth, P.T.
• Raksha A Trivedi, M.D
• Lourdes Abadilla Ustaris, M.D.
• Alejandro Montana Valdellon, M.D.

• Medical Physician Assistant in West Trenton, NJ
• Providers in West Trenton, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.