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ADVANCED GARDEN STATE CARDIOLOGY LLC NPI 1639481583


NPI Information

NPI: 1639481583
Provider Name: ADVANCED GARDEN STATE CARDIOLOGY LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 31D2247949

Address:
550 NEWARK AVE
SUITE 307
JERSEY CITY, NJ
ZIP 07306
Phone: (201) 418-9111
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ADVANCED GARDEN STATE CARDIOLOGY LLC is a cardiovascular disease internal medicine in Jersey City, NJ. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ADVANCED GARDEN STATE CARDIOLOGY LLC NPI is 1639481583. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

550 NEWARK AVE
SUITE 307
JERSEY CITY, NJ
ZIP 07306-326
Phone: (201) 418-9111
Fax: (201) 418-9118

The provider's authorized official is Merwin F Richard .
The authorized official title is President/owner and has the following contact phone number (201) 418-9111.

The CLIA number assigned to this NPI record is 31D2247949 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2010 and was last updated on 7/8/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease25MA07291400NEW JERSEYYes

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: 11/14/2023

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