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JAMES DAVIDSON HEFFERNAN JR.
NPI 1407214224
Nurse Anesthetist, Certified Registered in Lakewood, NJ

Active since February 08, 2016Accepts Medicare Assignment
93.27/100
CMS Quality Rating
360 ROUTE 70, LAKEWOOD, NJ 08701(732) 942-9835 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 17, 2023, Aug 30, 2022, Feb 8, 2016 (3 updates tracked since 2016).

About James Davidson Heffernan Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES DAVIDSON HEFFERNAN JR. (NPI 1407214224) is an individual nurse anesthetist, certified registered in Lakewood, New Jersey, licensed in New Jersey (26NJ14870500) and active in the NPI registry since February 2016. He is affiliated with Broward Health Imperial Point, maintains a secondary practice location in Knoxville, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1407214224
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJAMES DAVIDSON HEFFERNAN JR.
Location Address360 ROUTE 70Lakewood, NJ 08701-5823
Mailing Address1924 Alcoa Hwy, Box U109Knoxville, TN 37920-1511 · (865) 305-9220
Phone(732) 942-9835
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 8, 2016
Last NPPES UpdateAugust 17, 20233 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1407214224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in NJ · 26NJ14870500✔ Licensed in TN · 164262✔ Licensed in TN · 20984
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
360 ROUTE 70, Lakewood, NJ 08701
Open in Google Maps ↗

Secondary Practice Location 1

Location 1341 Trane DrKnoxville, TN 37919-6053 · Phone (865) 588-0880

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

James Davidson Heffernan Jr. 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.

PECOS PAC ID3274830468
PECOS Enrollment IDI20210127001445, I20250723001733

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
102 services97 patients
Anesthesia for procedure on anus and rectum 00902
Anesthesia for procedures on the anus and rectum ensures comfort during medical procedures. It involves the administration of medication to numb the area or induce sleep, so you don't feel pain or discomfort. This helps doctors perform necessary procedures smoothly and effectively.
54 services54 patients
Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope 00918
This procedure involves using anesthesia to ensure comfort while a special instrument called an endoscope helps to locate, break up, and possibly remove kidney stones. The endoscope is a thin, flexible tube which is gently inserted and navigated to the area of concern.
29 services28 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
24 services24 patients
Anesthesia for shock wave therapy for urinary system stones without water bath 00873
Anesthesia for shock wave therapy helps in comfortably breaking down urinary system stones. This is done without a water bath, using a device that sends shock waves to disintegrate the stones into small pieces, making them easier to pass naturally.
20 services19 patients
Anesthesia for removal of urinary bladder tumors including use of an endoscope 00912
This procedure involves the use of anesthesia to ensure comfort while an endoscope, a thin tube with a light and camera, is used to identify and remove abnormal growths in the bladder. It's a minimally invasive approach to maintain bladder health.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Broward Health Imperial Point

Acute Care Hospitals · Fort Lauderdale, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100200
Location6401 N Federal HwyFort Lauderdale, FL 33308 · Broward County

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KRISTY LYNN DEFLURI MSN, CRNA
Nurse Anesthetist, Certified Registered
360 ROUTE 70
LAKEWOOD, NJ 08701
Ocean County (732) 942-9835
SHORE OUTPATIENT SURGICENTER LLC
Clinic/Center (Ambulatory Surgical)
360 ROUTE 70
LAKEWOOD, NJ 08701
Ocean County (732) 942-9835
JESSI D GIACOPPO CRNA
Nurse Anesthetist, Certified Registered
360 ROUTE 70
LAKEWOOD, NJ 08701
Ocean County (732) 942-9835
DANIEL STABILE M.D.
Anesthesiology
360 ROUTE 70
LAKEWOOD, NJ 08701
Ocean County (732) 942-9835

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 James Heffernan's NPI number?

The NPI number for James Heffernan is 1407214224. It was assigned to this individual provider in the NPPES registry on February 8, 2016.

Where is James Heffernan located?

James Heffernan practices at 360 Route 70, Lakewood, NJ 08701. The listed phone number is (732) 942-9835.

What is James Heffernan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is James Heffernan enrolled in Medicare?

Yes. James Heffernan 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.

What insurance does James Heffernan accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list James Heffernan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Heffernan affiliated with any hospitals?

According to CMS data, James Heffernan is affiliated with Broward Health Imperial Point and Westerly Hospital.

When was this NPI record last updated?

The NPPES record for James Heffernan was last updated on August 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.