JON S HEIST DO PA
NPI 1467467175
Family Medicine in Glassboro, NJ
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jon S Heist Do Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Jon S Heist Do PA, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NJFrequently 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.
Is Jon S Heist Do PA enrolled in Medicare?
Yes. Jon S Heist Do PA is registered in the Medicare PECOS enrollment system.
When is Jon S Heist Do PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jon S Heist Do PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jon S Heist Do PA, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 6 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.
# Jon S Heist Do Pa · NPI 1467467175
Family Medicine organization in Glassboro, New Jersey. Organization record, active in the CMS NPPES registry since July 30, 2006.
## Identity
- **NPI:** 1467467175 (Entity type: Organization)
- **Enumerated:** July 30, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jen Heist, PRESIDENT PHYSICIAN
## Practice location
- **Address:** 361 N MAIN ST, Glassboro, NJ 08028
- **Phone:** (856) 881-8618 · **Fax:** (856) 881-5368
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 8091609 (NJ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467467175) · Data from the CMS NPPES public registry.