NPI Code Details Logo

NPI 1629016985

NPI 1629016985 : HEATHER LYNN SCHOENBERGER PA-C : FLORHAM PARK, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1629016985
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    HEATHER LYNN SCHOENBERGER PA-C
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/02/2006
-----------------------------------------------------
    Last Update Date     |    07/17/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    140 PARK AVE 
-----------------------------------------------------
    City                 |    FLORHAM PARK
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07932-1049
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    973-401-0500
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1 DIAMOND HILL RD 
-----------------------------------------------------
    City                 |    BERKELEY HEIGHTS
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07922-2104
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363AM0700X
-----------------------------------------------------
    Taxonomy Name        |    Medical Physician Assistant
-----------------------------------------------------
    License Number       |    0010-0083
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363AS0400X
-----------------------------------------------------
    Taxonomy Name        |    Surgical Physician Assistant
-----------------------------------------------------
    License Number       |    25MP00206000
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.