DR. NICHOLAS JOHN HEITMAN MD - NPI 1619618535

Q: What is Nicholas Heitman's NPI number?

The NPI number for Nicholas Heitman is 1619618535. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Nicholas Heitman's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Heitman was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.

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About Dr. Nicholas John Heitman Md NPPES

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

DR. NICHOLAS JOHN HEITMAN MD (NPI 1619618535) is an individual dermatology provider in New York, New York, licensed in New York (342299) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (2022).

NPPES Registry Identity

NPI1619618535

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameDR. NICHOLAS JOHN HEITMANCredential: MD

Location Address17 E 102ND ST FL 4New York, NY 10029-5204

Mailing Address1 Gustave L Levy PlNew York, NY 10029-6504

Phone(212) 659-8554

Sole ProprietorNo

Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2022

Enumeration DateApril 5, 2022

Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1619618535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in NY · 342299

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

17 E 102ND ST FL 4, New York, NY 10029

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas John Heitman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961977509

PECOS Enrollment IDI20260410002006

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

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.

Other Providers at the Same Location NPPES 8

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

CIERA SEARS M.D.

Internal Medicine (Hospice and Palliative Medicine)