Provider Demographics
NPI:1518945773
Name:CARDIOLOGY MEDICAL ASSOCIATES OF NORTHWEST NJ
Entity Type:Organization
Organization Name:CARDIOLOGY MEDICAL ASSOCIATES OF NORTHWEST NJ
Other - Org Name:SCHMIDT-FLETCHER MEDICAL ASSOCIATES PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCARPA
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:973-383-3700
Mailing Address - Street 1:67 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-1794
Mailing Address - Country:US
Mailing Address - Phone:973-383-3700
Mailing Address - Fax:973-383-1722
Practice Address - Street 1:67 HIGH ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-1794
Practice Address - Country:US
Practice Address - Phone:973-383-3700
Practice Address - Fax:973-383-1722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-06
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2624401Medicaid
PA075733Medicare PIN
NJ2624401Medicaid