DR. JOSEPH HEATON MD
NPI 1629539762
Student in an Organized Health Care Education/Training Program in Neptune, NJ
About Dr. Joseph Heaton Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOSEPH HEATON MD (NPI 1629539762) is an individual student in an organized health care education/training program in Neptune, New Jersey and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Joseph Heaton Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Joseph Heaton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 306 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 689 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jersey Shore University Medical Center
Acute Care Hospitals · Neptune, NJMedicare 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEPTUNE, NJ 07753
NEPTUNE, NJ 07753
NEPTUNE, NJ 07753
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 Joseph Heaton's NPI number?
The NPI number for Joseph Heaton is 1629539762. It was assigned to this individual provider in the NPPES registry on March 29, 2019.
Where is Joseph Heaton located?
Joseph Heaton practices at 19 Davis Ave Fl 6, Neptune, NJ 07753. The listed phone number is (732) 897-3990.
What is Joseph Heaton's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Joseph Heaton enrolled in Medicare?
Yes. Joseph Heaton 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.
Which organizations bill Medicare for Joseph Heaton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Heaton reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ). Each 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 Joseph Heaton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Joseph Heaton accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Joseph Heaton 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 Joseph Heaton affiliated with any hospitals?
According to CMS data, Joseph Heaton is affiliated with Jersey Shore University Medical Center.
When was this NPI record last updated?
The NPPES record for Joseph Heaton was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Joseph Heaton, MD · NPI 1629539762
Student in an Organized Health Care Education/Training Program provider in Neptune, New Jersey. Individual provider, active in the CMS NPPES registry since March 29, 2019.
## Identity
- **NPI:** 1629539762 (Entity type: Individual)
- **Enumerated:** March 29, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 19 DAVIS AVE FL 6, Neptune, NJ 07753-4488
- **Phone:** (732) 897-3990
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hackensack Meridian Health Medical Group - Complex Care PC (NPI 1154379626, Red Bank, NJ); Hackensack Meridian Health Medical Group - Primary Care PC (NPI 1336203538, Red Bank, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1629539762) · Data from the CMS NPPES public registry.