Provider Demographics
NPI:1326026378
Name:HAMILTON CARDIOLOGY ASSOCIATES, PA
Entity Type:Organization
Organization Name:HAMILTON CARDIOLOGY ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAHMOUD
Authorized Official - Middle Name:S
Authorized Official - Last Name:GHUSSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-631-7101
Mailing Address - Street 1:2073 KLOCKNER RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690
Mailing Address - Country:US
Mailing Address - Phone:609-584-1212
Mailing Address - Fax:609-584-0103
Practice Address - Street 1:2073 KLOCKNER RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-3414
Practice Address - Country:US
Practice Address - Phone:609-584-1212
Practice Address - Fax:609-584-0103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ587446OtherAETNA
NJ8221405Medicaid
NJ0075015000OtherAMERIHEALTH
NJ1735299OtherUNITED HEALTHCARE OF NJ
NJG409874OtherOXFORD HEALTH
NJ0075015000OtherAMERIHEALTH
NJ=========OtherCIGNA
NJ=========OtherUHP
=========OtherTAX ID #
NJ=========OtherHEALTHNET OF NJ
NJ0075015000OtherAMERIHEALTH
NJ=========OtherAMERIGROUP
NJ=========OtherHORIZON B/C B/S OF NJ
NJ=========OtherGREAT WEST HEALTHCARE
NJ=========OtherQUALCARE
=========OtherTRICARE
NJ587446OtherAETNA
NJ=========OtherFIRST HEALTH/COVENTRY
NJG409874OtherOXFORD HEALTH
NJ614831Medicare ID - Type Unspecified