Provider Demographics
NPI:1467052993
Name:NJ HEART & VASCULAR CARE PC
Entity Type:Organization
Organization Name:NJ HEART & VASCULAR CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GOBINATH
Authorized Official - Middle Name:
Authorized Official - Last Name:PERIYANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-675-4327
Mailing Address - Street 1:295 PRINCETON HIGHTSTOWN RD UNIT 11-312
Mailing Address - Street 2:
Mailing Address - City:WEST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-3123
Mailing Address - Country:US
Mailing Address - Phone:609-759-9660
Mailing Address - Fax:609-759-9661
Practice Address - Street 1:10 FORRESTAL RD S STE 207
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-6666
Practice Address - Country:US
Practice Address - Phone:609-759-9660
Practice Address - Fax:609-759-9661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-26
Last Update Date:2023-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty