KEYSTONE CARDIOVASCULAR CENTER LLC NPI 1902299621

NPI Information

  • NPI: 1902299621
  • Provider Name: KEYSTONE CARDIOVASCULAR CENTER LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 255 W SPRING VALLEY AVE STE 200
    MAYWOOD, NJ
    ZIP 07607
  • Phone: (201) 882-6088

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NPI Details

KEYSTONE CARDIOVASCULAR CENTER LLC is a medical specialty clinic center in Maywood, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). KEYSTONE CARDIOVASCULAR CENTER LLC NPI is 1902299621. The provider is registered as an organization entity type.

The provider's business location address is:

255 W SPRING VALLEY AVE STE 200
MAYWOOD, NJ
ZIP 07607
Phone: (201) 882-6088

The provider's authorized official is Demetrios Panagiotou .
The authorized official title is Founder and has the following contact phone number (201) 956-4886.

The enumeration date for this NPI number is 3/5/2015 and was last updated on 1/24/2019.

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
1261QM2500XClinic/CenterMedical Specialty25MA08814900NEW 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: 3/30/2025

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