JON S HEIST DO PA
NPI 1467467175
Family Medicine in Glassboro, NJ

Q: What is Jon S Heist Do PA's NPI number?

The NPI number for Jon S Heist Do PA is 1467467175. It was assigned to this organization in the NPPES registry on July 30, 2006.

Q: What is Jon S Heist Do PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jon S Heist Do PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 30, 2006CLIA 31D0975014 · Waiver

361 N MAIN ST, GLASSBORO, NJ 08028(856) 881-8618(856) 881-5368 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jon S Heist Do Pa NPPES

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

JON S HEIST DO PA (NPI 1467467175) is a healthcare organization registered as a family medicine in Glassboro, New Jersey and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 22, 2028 and lists Jen S Heist, President Physician, as its authorized official.

NPPES Registry Identity

NPI1467467175

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameJON S HEIST DO PA

Location Address361 N MAIN STGlassboro, NJ 08028

Mailing Address361 N Main StGlassboro, NJ 08028 · (856) 881-8618 · Fax (856) 881-5368

Phone(856) 881-8618

Fax(856) 881-5368

Organization SubpartNo

Authorized OfficialJen S HeistPresident Physician · (856) 881-8618

Enumeration DateJuly 30, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1467467175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

361 N MAIN ST, Glassboro, NJ 08028

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Other Identifiers 1

Medicaid8091609NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0975014

Jon S Heist Do PA · Glassboro, NJ

Active · expires Jun 22, 2028

CLIA Number31D0975014

Laboratory TypePhysician Office

Certificate Effective DateJune 23, 2026

Certificate Expiration DateJune 22, 2028

Laboratory DirectorJon S. Heist

Laboratory Phone(856) 881-8618

Laboratory LocationJon S Heist Do PA361 N Main Street, Glassboro, NJ 08028

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MRS. JOLENE ELIZABETH BOHENSKY PA-C

Physician Assistant

361 N MAIN ST
GLASSBORO, NJ 08028

Gloucester County (856) 881-8618

JON S HEIST DO

Family Medicine

361 N MAIN ST
GLASSBORO, NJ 08028

Gloucester County (856) 881-8618

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 Jon S Heist Do PA's NPI number?

The NPI number for Jon S Heist Do PA is 1467467175. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Jon S Heist Do PA located?

Jon S Heist Do PA is located at 361 N Main St, Glassboro, NJ 08028. The listed phone number is (856) 881-8618.

What is Jon S Heist Do PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Jon S Heist Do PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0975014) is associated with this NPI, valid through June 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jon S Heist Do PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.