Active NPIIndividual provider

Ms. Marybeth Heffernan, APN

Nurse Practitioner, Adult Health in East Orange, New Jersey

NPI Number1164522553
Practice location
VA New Jersey Health Care System, East Orange Campus, 385 Tremont Avenue, East Orange, NJ 07018
Fax
—
Last updated
July 8, 2007

Marybeth Heffernan is a Nurse Practitioner, Adult Health based in East Orange, NJ. Marybeth Heffernan practices in East Orange, NJ and has the professional credentials of APN. The NPI Number for Marybeth Heffernan is 1164522553 and holds a License No. 26NC06229000 (NJ). The current practice location address for Marybeth Heffernan is VA New Jersey Health Care System, East Orange Campus, 385 Tremont Avenue, East Orange, NJ 07018 and can be reached out via phone at 973-676-1000.

Provider Profile Details

NPI Number
1164522553
Provider Name
Marybeth Heffernan
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
VA New Jersey Health Care System, East Orange Campus, 385 Tremont Avenue, East Orange, NJ 07018
Phone Number
973-676-1000
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
September 25, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
VA New Jersey Health Care System, East Orange Campus
385 Tremont Avenue
East Orange, NJ 07018
Zip
07018
Phone Number
973-676-1000
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
7 Judge Thompson RD
Somerville, NJ 08876-3723
City
Somerville
State
NJ
Zip
08876-3723

License Information

License Number
26NC06229000
License State
NJ
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Marybeth Heffernan, APN?

The NPI number of Ms. Marybeth Heffernan, APN is 1164522553. It was assigned on September 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Marybeth Heffernan, APN?

Ms. Marybeth Heffernan, APN is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NC06229000.

Where does Ms. Marybeth Heffernan, APN practice?

The practice location is VA New Jersey Health Care System, East Orange Campus, 385 Tremont Avenue, East Orange, NJ 07018. The office can be reached at 973-676-1000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164522553 directly on the NPPES registry website.

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