Active NPIIndividual providerSole proprietor

Dr. Mitchell J Heller, MD

Emergency Medicine in Montclair, New Jersey

NPI Number1275504052
Practice location
1 Bay Ave, Montclair, NJ 07042-4837
Fax
—
Last updated
April 25, 2024

Mitchell Jerold Heller is an Emergency Medicine based in Montclair, NJ. Mitchell Jerold Heller practices in Montclair, NJ and has the professional credentials of MD. The NPI Number for Mitchell Jerold Heller is 1275504052 and holds a License No. 197042 (NY). The current practice location address for Mitchell Jerold Heller is 1 Bay Ave, Montclair, NJ 07042-4837 and can be reached out via phone at 973-429-6000.

Provider Profile Details

NPI Number
1275504052
Provider Name
Mitchell Jerold Heller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Bay Ave, Montclair, NJ 07042-4837
Phone Number
973-429-6000
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 30, 2006
Last Update Date
April 25, 2024
Certification Date
April 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Bay Ave
Montclair, NJ 07042-4837
Zip
07042-4837
Phone Number
973-429-6000
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
74 Oakwood Ave
Montclair, NJ 07043-1917
City
Montclair
State
NJ
Zip
07043-1917
Phone Number
973-233-9143

License Information

License Number (1)
197042
License State (1)
NY
Taxonomy (1)
Emergency Medicine · 207P00000X
License Number (2)
25MA06586300
License State (2)
NJ
Taxonomy (2)
Emergency Medicine · 207P00000X · 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 Dr. Mitchell J Heller, MD?

The NPI number of Dr. Mitchell J Heller, MD is 1275504052. It was assigned on January 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mitchell J Heller, MD?

Dr. Mitchell J Heller, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NY under license number 197042.

Where does Dr. Mitchell J Heller, MD practice?

The practice location is 1 Bay Ave, Montclair, NJ 07042-4837. The office can be reached at 973-429-6000 (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 1275504052 directly on the NPPES registry website.

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