Provider Demographics
NPI:1093865677
Name:CARDIOLOGY ASSOCIATES OF OCEAN COUNTY
Entity Type:Organization
Organization Name:CARDIOLOGY ASSOCIATES OF OCEAN COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TANVEER
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-458-8299
Mailing Address - Street 1:495 JACK MARTIN BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-7732
Mailing Address - Country:US
Mailing Address - Phone:732-458-8299
Mailing Address - Fax:732-458-1901
Practice Address - Street 1:495 JACK MARTIN BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-7732
Practice Address - Country:US
Practice Address - Phone:732-458-8299
Practice Address - Fax:732-458-1901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ661065Medicare PIN