Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicholas John Heitman, MD

Individual provider Dermatology Physician · NPI 1619618535

Dr. Nicholas John Heitman, MD is a Dermatology in New York, New York. Graduated from Icahn School of Medicine at Mount Sinai in 2022, 4 years ago. Licensed in New York.

Years since qualifying
4
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
NY
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

17 E 102nd St Fl 4
New York, NY 10029-5204
Phone: (212) 659-8554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 342299 (NY)

Record details

NPI number1619618535
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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