Individual provider Active NPI

Gregory D Heifler, MD

  • Family Medicine Physician
  • Montclair, NJ
National Provider Identifier
1902998685
Registry record updated Aug 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA064696NJ Issued in NJ
Practice address
103 Park Street
Building B
Montclair, NJ 07042
Phone
(973) 783-4117
Fax
(973) 783-5236
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA064696NJ NJ Primary

Addresses

Primary practice location

103 Park Street
Building B
Montclair, NJ 07042

Mailing address

103 Park Street
Building B
Montclair, NJ 07042
Phone (973) 783-4117

Other identifiers 1

IdentifierTypeStateIssuer
719298OtherNJRAIL ROAD MEDICARE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040422000354 NJ Practitioner - Family Practice 3476549742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 Park St
Montclair, NJ 07042-5913
Phone (973) 378-4117

Hospital & facility affiliations

  • Patient Care Home health agency, West Orange, NJ, CCN 317060
  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054

Merit-based Incentive Payment System (MIPS)

Final score
78.32 of 100Reported as group
Quality
81.59
Improvement activities
40
Cost
52.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA064696NJNJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Heifler, MD, PA Family Medicine CurrentSince Aug 1, 2007 Accepting new patients

Locations

103 Park St
Bldg B
Montclair, NJ 07042
Phone (973) 567-1668

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314403200000",
    "number": "1902998685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PARK STREET",
            "address_2": "BUILDING B",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "973-783-4117",
            "fax_number": "973-783-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PARK STREET",
            "address_2": "BUILDING B",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "973-783-4117",
            "fax_number": "973-783-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIFLER",
        "first_name": "GREGORY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA064696NJ",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "719298",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.