Provider Demographics
NPI:1073681482
Name:CENTRAL JERSEY CARDIOLOGY, PC
Entity Type:Organization
Organization Name:CENTRAL JERSEY CARDIOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VARINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-452-0400
Mailing Address - Street 1:PO BOX 32
Mailing Address - Street 2:
Mailing Address - City:WICKATUNK
Mailing Address - State:NJ
Mailing Address - Zip Code:07765
Mailing Address - Country:US
Mailing Address - Phone:732-452-0400
Mailing Address - Fax:732-452-0450
Practice Address - Street 1:215 BRIDGE ST
Practice Address - Street 2:BLDG E
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840
Practice Address - Country:US
Practice Address - Phone:732-452-0400
Practice Address - Fax:732-452-0450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA05946100207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6001602Medicaid
NJ6001602Medicaid
NJ036668Medicare ID - Type UnspecifiedMDCR#