Active NPIIndividual provider

Mrs. Donna M Heinzen, PA

Physician Assistant in Glen Ridge, New Jersey

NPI Number1649366162
Practice location
905 Bloomfield Ave, Glen Ridge, NJ 07028-1329
Fax
—
Last updated
October 3, 2019

Donna M Heinzen is a Physician Assistant based in Glen Ridge, NJ. Donna M Heinzen practices in Glen Ridge, NJ and has the professional credentials of PA. The NPI Number for Donna M Heinzen is 1649366162 and holds a License No. 25MP00037900 (NJ). The current practice location address for Donna M Heinzen is 905 Bloomfield Ave, Glen Ridge, NJ 07028-1329 and can be reached out via phone at 973-715-2176.

Provider Profile Details

NPI Number
1649366162
Provider Name
Donna M Heinzen
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
905 Bloomfield Ave, Glen Ridge, NJ 07028-1329
Phone Number
973-715-2176
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
October 4, 2006
Last Update Date
October 3, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
905 Bloomfield Ave
Glen Ridge, NJ 07028-1329
Zip
07028-1329
Phone Number
973-715-2176
Glen Ridge, NJ 07028Get directions →

Provider Business Mailing Address Details

Address
Po Box 273
Whippany, NJ 07981-0273
City
Whippany
State
NJ
Zip
07981-0273
Phone Number
973-535-8355
Fax Number
973-535-8353

License Information

License Number
25MP00037900
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · 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 Mrs. Donna M Heinzen, PA?

The NPI number of Mrs. Donna M Heinzen, PA is 1649366162. It was assigned on October 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Donna M Heinzen, PA?

Mrs. Donna M Heinzen, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00037900.

Where does Mrs. Donna M Heinzen, PA practice?

The practice location is 905 Bloomfield Ave, Glen Ridge, NJ 07028-1329. The office can be reached at 973-715-2176 (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 1649366162 directly on the NPPES registry website.

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