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

Heather Hogh

Individual provider Adult Health Nurse Practitioner · NPI 1063929149

Heather Hogh is a Nurse Practitioner in Randolph, New Jersey. Qualified in 2017, 9 years ago. Practices with Id Care LLC, a 119-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2018

Practice location Address checks out

765 Route 10 E Ste 201
Randolph, NJ 07869-1925
Phone: (973) 989-0068
Fax: (973) 361-8955
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 26NJ00762900 (NJ)

Record details

NPI number1063929149
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 10, 2018
Last updated in NPPESJanuary 10, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Id Care Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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