Provider Demographics
NPI:1578588703
Name:ROPPELT, HEIDI (MD)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:
Last Name:ROPPELT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:147 BEACH RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:WESTHAMPTON BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11978-1733
Mailing Address - Country:US
Mailing Address - Phone:631-405-3325
Mailing Address - Fax:631-237-3164
Practice Address - Street 1:147 BEACH RD
Practice Address - Street 2:SUITE D
Practice Address - City:WESTHAMPTON BEACH
Practice Address - State:NY
Practice Address - Zip Code:11978-1733
Practice Address - Country:US
Practice Address - Phone:631-405-3325
Practice Address - Fax:631-237-3164
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY234902207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4281F1OtherEMPIRE BC.BS
NY7789693OtherAETNA
NY02661223Medicaid
NYI29691Medicare UPIN
NY4281F1OtherEMPIRE BC.BS