HEATHER BRYAN
NPI 1376964288
Physician Assistant - Surgical in Cliffside Park, NJ
About Heather Bryan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER BRYAN (NPI 1376964288) is an individual surgical provider in Cliffside Park, New Jersey, licensed in New Jersey (25MP00320300) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Holy Name Medical Center, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Heather Bryan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holy Name Medical Center
Acute Care Hospitals · Teaneck, NJOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLIFFSIDE PARK, NJ 07010
CLIFFSIDE PARK, NJ 07010
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Heather Bryan's NPI number?
The NPI number for Heather Bryan is 1376964288. It was assigned to this individual provider in the NPPES registry on December 18, 2013.
Where is Heather Bryan located?
Heather Bryan practices at 663 Palisade Ave, Cliffside Park, NJ 07010. The listed phone number is (201) 943-9100.
What is Heather Bryan's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Heather Bryan enrolled in Medicare?
Yes. Heather Bryan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Heather Bryan affiliated with any hospitals?
According to CMS data, Heather Bryan is affiliated with Holy Name Medical Center.
When was this NPI record last updated?
The NPPES record for Heather Bryan was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Heather Bryan · NPI 1376964288
Surgical physician in Cliffside Park, New Jersey. Individual provider, active in the CMS NPPES registry since December 18, 2013.
## Identity
- **NPI:** 1376964288 (Entity type: Individual)
- **Enumerated:** December 18, 2013
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 25MP00320300 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 663 PALISADE AVE, Cliffside Park, NJ 07010-3012
- **Phone:** (201) 943-9100 · **Fax:** (201) 943-7308
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** December 18, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1376964288) · Data from the CMS NPPES public registry.