Active NPIIndividual providerSole proprietor

Jon S Heist, DO

Family Medicine in Glassboro, New Jersey

NPI Number1760501373
Practice location
361 N Main St, Glassboro, NJ 08028-1920
Fax
856-881-5368
Last updated
July 8, 2007

Jon S Heist is a Family Medicine based in Glassboro, NJ. Jon S Heist practices in Glassboro, NJ and has the professional credentials of DO. The NPI Number for Jon S Heist is 1760501373 and holds a License No. 25MB05940000 (NJ). The current practice location address for Jon S Heist is 361 N Main St, Glassboro, NJ 08028-1920 and can be reached out via phone at 856-881-8618 and via fax at 856-881-5368.

Provider Profile Details

NPI Number
1760501373
Provider Name
Jon S Heist
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
361 N Main St, Glassboro, NJ 08028-1920
Phone Number
856-881-8618
Fax Number
856-881-5368
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 28, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
361 N Main St
Glassboro, NJ 08028-1920
Zip
08028-1920
Phone Number
856-881-8618
Fax Number
856-881-5368
Glassboro, NJ 08028Get directions →

Provider Business Mailing Address Details

Address
361 N Main St
Glassboro, NJ 08028-1920
City
Glassboro
State
NJ
Zip
08028-1920
Phone Number
856-881-8618
Fax Number
856-881-5368

License Information

License Number
25MB05940000
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · 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 Jon S Heist, DO?

The NPI number of Jon S Heist, DO is 1760501373. It was assigned on March 28, 2007 and is currently active in the NPPES registry.

What is the specialty of Jon S Heist, DO?

Jon S Heist, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB05940000.

Where does Jon S Heist, DO practice?

The practice location is 361 N Main St, Glassboro, NJ 08028-1920. The office can be reached at 856-881-8618 (phone) or 856-881-5368 (fax).

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 1760501373 directly on the NPPES registry website.

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