DIVAGNO INTERVENTIONAL CARDIOLOGY MD PA NPI 1588680110

NPI Information

NPI: 1588680110
Provider Name: DIVAGNO INTERVENTIONAL CARDIOLOGY MD PA
Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

Address:
218 STATE RT 17 N
SUITE 310
ROCHELLE PARK, NJ
ZIP 07662
Phone: (201) 845-3535
Get Directions

DIVAGNO INTERVENTIONAL CARDIOLOGY MD PA is an interventional cardiology internal medicine in Rochelle Park, NJ. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. DIVAGNO INTERVENTIONAL CARDIOLOGY MD PA NPI is 1588680110. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

218 STATE RT 17 N
SUITE 310
ROCHELLE PARK, NJ
ZIP 07662-399
Phone: (201) 845-3535
Fax: (201) 845-4040

The provider's authorized official is Leonardo Joseph Divagno .
The authorized official title is Practitioner and has the following contact phone number (201) 845-3535.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 11/4/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	MA69173	NEW JERSEY	No
2	207RI0011X	Internal Medicine	Interventional Cardiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00209334	MEDICARE PIN	NEW JERSEY
2	8750009	MEDICAID	NEW JERSEY
3	P2656071	OTHER		OXFORD
4	G23362	MEDICARE UPIN
5	087792	MEDICARE PIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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