DR. KATHLEEN A HEFFERNAN (NPI# 1891797957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891797957 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN A HEFFERNAN |
| Credential | MD |
| Practice Address |
34 Mountain Blvd Warren NJ 07059-2640 |
| Mailing Address |
1 Diamond Hill Rd Summit Medical Group Berkeley Heights NJ 07922-2104 |
| Practice Telephone | 9087690100 |
| Practice Fax Number | 9087692512 |
| Mailing Telephone | 9082734300 |
| Mailing Fax Number | 9087692560 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MA52928 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870710 | Kathleen None Heffernan | Registered Nurse | 205 Onset Ave Apt 502, Onset, MA 02558-1983 | 2020-08-03 |
| 1356461487 | Kathleen Mary Heffernan | Counselor | 18001 N 79th Ave, B-45, Glendale, AZ 85308-8388 | 2007-03-30 |
| Street Address |
34 MOUNTAIN BLVD |
| City | WARREN |
| State | NJ |
| Zip Code | 07059-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437154192 | Maurice Andrew Ferrante | Internal Medicine | 34 Mountain Blvd, Warren, NJ 07059-2640 | 2005-06-17 |
| 1326681578 | Kathryn Willmann | Physical Therapist | 34 Mountain Blvd, Warren, NJ 07059-2640 | 2019-10-21 |
| 1669955829 | Brittany Gaske | Physical Therapist | 34 Mountain Blvd, Warren, NJ 07059-2640 | 2018-09-12 |
| 1033587100 | Dina Lombardo | Physical Therapist | 34 Mountain Blvd, Warren, NJ 07059 | 2015-09-08 |
| 1396111761 | Kristin Kaufmann | Physical Therapist | 34 Mountain Blvd, Building C, Warren, NJ 07059-2640 | 2015-08-19 |
| 1215320619 | Jorden Arielle Nolan | Specialist/Technologist | 34 Mountain Blvd, Warren, NJ 07059-2640 | 2015-03-09 |
| 1134471899 | Kelli Short | Physical Therapist | 34 Mountain Blvd, Warren, NJ 07059-2640 | 2012-10-04 |
| 1356698849 | Renata Pac | Physical Therapist | 34 Mountain Blvd, Building C, Warren, NJ 07059-2640 | 2012-08-14 |
| 1821369422 | Warren Pediatric Associates | Pediatrics | 34 Mountain Blvd, Bldg A Suite 130, Warren, NJ 07059-2640 | 2012-01-13 |
| 1457647307 | Michael James Wylykanowitz Jr. | Physical Therapist | 34 Mountain Blvd, Building C, Warren, NJ 07059-2640 | 2011-06-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245680826 | Brightview Warren, LLC | Alzheimer Center (Dementia Center) | 55 Mt. Bethel Road, Warren, NJ 07059 | 2016-06-15 |
| 1245617786 | Mt Bethel Day Program LLC | Clinic/Center | 67 Mountain Blvd, Suite 201, Warren, NJ 07059 | 2015-05-05 |
| 1831509413 | Chandana Pande | Internal Medicine | 34 Moutain Blvd, Warren, NJ 07059 | 2014-05-05 |
| 1740624121 | Prakhar Mehrotra | Dentist | 58 Mount Bethel Rd Ste 202, Warren, NJ 07059 | 2013-04-29 |
| 1558680231 | International Healthcare of Nj | Specialist | 3 Tiffanys Way, Warren, NJ 07059 | 2010-05-20 |
| 1740430495 | Danielle Lynnette Neumann | Physical Therapist | 247 King George Rd, Warren, NJ 07059 | 2008-09-30 |
| 1831358381 | Linda Zhang | Ophthalmology | 65 Mountain Blvd. Ext, Ste. 105, Warren, NJ 07059 | 2008-06-09 |
| 1356515597 | Tiffany Lynn Scott | Pediatrics | 76 Stirling Rd., Suite 201, Warren, NJ 07059 | 2008-04-18 |
| 1710011283 | Vincent Frederick Colon | Psychiatry & Neurology | 161 Washington Valley Road, Suite #206, Warren, NJ 07059 | 2007-03-15 |
| 1972666089 | Kwei Ping Shen Kwei | Dentist | 108 Mt Bethel Rd, Warren, NJ 07059 | 2006-12-19 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205273315 | Dina Kassab | Obstetrics & Gynecology | 11885 E 12 Mile Rd Ste 202a, Warren, MI 48093-3469 | 2013-05-30 |
| 1427385954 | Bhanu J. Shah Md PC | Obstetrics & Gynecology | 29175 Ryan Rd, Warren, MI 48092-4243 | 2009-11-04 |
| 1790942993 | Sawsan Wadi Jamil | Obstetrics & Gynecology | 11012 E 13 Mile Rd Ste 212, Warren, MI 48093-2547 | 2008-05-16 |
| 1689855058 | Amine R Abdul-aal | Obstetrics & Gynecology | 200 Garfield Dr Ne, Suite 1, Warren, OH 44483-5557 | 2007-11-14 |
| 1790991909 | Jennifer Marie Nowasielski | Obstetrics & Gynecology | 30117 Schoenherr Rd Ste 400, Warren, MI 48088-6854 | 2007-05-15 |
| 1427264902 | Jacquelyn Nicole Rodriguez | Obstetrics & Gynecology | 11012 E 13 Mile Rd, Ste # 212, Warren, MI 48093-2572 | 2007-05-14 |
| 1477647501 | Adagio Health Inc. | Obstetrics & Gynecology | 306 Hazel St, Warren, PA 16365-4920 | 2006-10-03 |
| 1861587321 | Cortland Obgyn Associates Inc | Obstetrics & Gynecology | 200 Garfield Dr, Suite A, Warren, OH 44483 | 2006-10-03 |
| 1790793941 | Meiuttenun Chong Marie Brown | Obstetrics & Gynecology | 8200 Old 13 Mile Rd, Suite 106, Warren, MI 48093-2171 | 2006-08-04 |
| 1588671648 | Gerard Joseph Pregenzer | Obstetrics & Gynecology | 65 Mountain Blvd Ext Suite 201, Womens Health Care of Warren, Warren, NJ 07059 | 2006-08-02 |
| Find all providers in WARREN | ||||
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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.