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NEW JERSEY ELECTROPHYSIOLOGY ASSOCIATES LLC NPI 1790977056


NPI Information

NPI: 1790977056
Provider Name: NEW JERSEY ELECTROPHYSIOLOGY ASSOCIATES LLC
Classification: Internal Medicine - 207RC0001X
Entity Type: Organization

Specialization: Clinical Cardiac Electrophysiology

Address:
201 LYONS AVE
NEWARK, NJ
ZIP 07112
Phone: (973) 926-8590
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NEW JERSEY ELECTROPHYSIOLOGY ASSOCIATES LLC is a clinical cardiac electrophysiology internal medicine in Newark, NJ. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. NEW JERSEY ELECTROPHYSIOLOGY ASSOCIATES LLC NPI is 1790977056. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

201 LYONS AVE
NEWARK, NJ
ZIP 07112
Phone: (973) 926-8590
Fax: (973) 926-6758

The provider's authorized official is Stephen Tobias Rothbart .
The authorized official title is Owner and has the following contact phone number (973) 926-8590.

The enumeration date for this NPI number is 8/10/2007 and was last updated on 4/13/2012.


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
1207RI0001XInternal MedicineClinical & Laboratory ImmunologyMA03512300NEW JERSEYNo
2207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyMA35123NEW 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
1C56527MEDICARE UPINNEW JERSEY
28437807MEDICAIDNEW JERSEY
35095050001MEDICARE NSCNEW JERSEY
409385M4VOTHERNEW JERSEYMEDICARE ID
5025467MEDICARE PIN

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: 4/28/2024

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