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

Elyssa Kleinwaks Heisey

Individual provider Family Medicine Physician · NPI 1790487254

Elyssa Kleinwaks Heisey is a Family Practice in Broomall, Pennsylvania. Qualified in 2023, 3 years ago. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2023

Practice location Address checks out

1991 Sproul Rd Ste 140
Broomall, PA 19008-3518
Phone: (610) 325-0309
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS025549 (PA)

Record details

NPI number1790487254
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Broomall