Provider Demographics
NPI:1184827412
Name:CARDIOVASCULAR SURGICAL ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:CARDIOVASCULAR SURGICAL ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJ
Authorized Official - Middle Name:RAMANUJ
Authorized Official - Last Name:KAUSHIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-214-2595
Mailing Address - Street 1:1200 BECK LANE
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15851-5806
Mailing Address - Country:US
Mailing Address - Phone:973-214-6966
Mailing Address - Fax:
Practice Address - Street 1:33 NORTHVIEW AVE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07043-1802
Practice Address - Country:US
Practice Address - Phone:973-214-6966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8093903Medicaid
=========OtherTAX ID
NJ8093903Medicaid