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JITAN CARDIOLOGY CORP NPI 1720144280


NPI Information

NPI: 1720144280
Provider Name: JITAN CARDIOLOGY CORP
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
15 MCCAMPBELL RD
HOLMDEL, NJ
ZIP 07733
Phone: (732) 946-0995
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JITAN CARDIOLOGY CORP is a cardiovascular disease internal medicine in Holmdel, 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. JITAN CARDIOLOGY CORP NPI is 1720144280. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15 MCCAMPBELL RD
HOLMDEL, NJ
ZIP 07733-225
Phone: (732) 946-0995
Fax: (732) 946-0995

The provider's authorized official is Raed A Jitan .
The authorized official title is Owner and has the following contact phone number (732) 946-0995.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 1/19/2012.


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 Disease25MA07843100NEW JERSEYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
111101509OTHERNEW JERSEYCAQH
2G14622MEDICARE UPINNEW JERSEY
3BJ4326434OTHERNEW JERSEYDEA
40106194MEDICAIDNEW JERSEY
5102282MEDICARE ID-TYPE UNSPECIFIEDNEW 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: 11/14/2023

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