Provider Demographics
NPI:1447765102
Name:CONSULTATIVE CARDIOLOGY LLC
Entity Type:Organization
Organization Name:CONSULTATIVE CARDIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:MARC
Authorized Official - Last Name:OCKEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-400-9805
Mailing Address - Street 1:115 VAN CLEEF DR
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE STATION
Mailing Address - State:NJ
Mailing Address - Zip Code:08889-3746
Mailing Address - Country:US
Mailing Address - Phone:908-400-9805
Mailing Address - Fax:908-725-7479
Practice Address - Street 1:115 VAN CLEEF
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE STATION
Practice Address - State:NJ
Practice Address - Zip Code:08889-3746
Practice Address - Country:US
Practice Address - Phone:908-400-9805
Practice Address - Fax:908-725-7479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-04
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04229300207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty