DR. MITCHELL JEROLD HELLER (NPI# 1275504052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275504052 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL JEROLD HELLER |
| Credential | M.D. |
| Practice Address |
1 Bay Ave Montclair NJ 07042-4837 |
| Mailing Address |
74 Oakwood Ave Montclair NJ 07043-1917 |
| Practice Telephone | 9734296000 |
| Mailing Telephone | 9732339143 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2008-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MA65863 | NJ | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 197042 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1872733 | 05 | |
| NJ | 7375808 | 05 |
| Street Address |
1 BAY AVE |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042-4837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539645 | Philip Lutz | Anesthesiology | 1 Bay Ave, Montclair, NJ 07042-4837 | 2005-06-22 |
| 1063039782 | Heary Neurosurgical Institute PC | Neurological Surgery | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-06-29 |
| 1912527094 | Fahmena Islam | Registered Nurse | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-20 |
| 1770103004 | Dhara Patel | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-16 |
| 1639798028 | Meng-shan Lin | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-15 |
| 1487273660 | Carlos Enrique Huauya Leuyacc | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-08 |
| 1275162620 | Arham Syed Hazari | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-07 |
| 1841829389 | Sydnee Siewshyuan Lim | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-06 |
| 1144859620 | Tochukwu Mbolu | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-06 |
| 1932737079 | Keerthana Kuppamma Kumar | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
| Find all providers in zip 07042 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215498811 | Above Urgent Care Center | Emergency Medicine | 8891 N. Central Ave Ste A, Montclair, CA 91763 | 2019-03-27 |
| 1598112146 | Emergency Associates of Montclair LLC | Emergency Medicine | 1 Bay Ave, Montclair, NJ 07042-4837 | 2016-05-24 |
| 1356721195 | Lani Mendelson | Emergency Medicine | 1 Bay Ave, Montclair, NJ 07042-4837 | 2015-06-07 |
| 1558774687 | Amanda Alberino-catapano | Emergency Medicine | 1 Bay Ave, Montclair, NJ 07042-4837 | 2014-06-05 |
| 1316361637 | Viktor Livshits | Emergency Medicine | 1 Bay Ave, Montclair, NJ 07042-4837 | 2014-02-06 |
| 1639427842 | Montclair Emergency Medical Associates, Inc. | Emergency Medicine | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2012-08-17 |
| 1750667283 | Lisa Leuchten | Emergency Medicine | 1 Bay Ave, Montclair, NJ 07042-4837 | 2011-10-28 |
| 1518103118 | Chameeka Olivia Barrett | Emergency Medicine | 1 Bay Ave, Montclair, NJ 07042-4837 | 2009-01-02 |
| 1487856316 | Krista Bilbraut | Emergency Medicine | 1 Bay Ave, Montclair, Montclair, NJ 07042-4837 | 2007-06-04 |
| 1255533188 | Radha Kotamraju | Emergency Medicine | 1 Bay Ave, Montclair, NJ 07042-4837 | 2007-06-04 |
| Find all providers in MONTCLAIR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.