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

Thomas J Heinisch, PA-C

Individual provider Physician Assistant · NPI 1386071587

Thomas J Heinisch, PA-C is a Physician Assistant in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

107 Montrose Dr
Port Jefferson Station, NY 11776-1319
Phone: (631) 487-0083
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 017088 (NY)

Record details

NPI number1386071587
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 2, 2013
Last updated in NPPESOctober 2, 2013

Other providers in Port Jefferson Station