Provider Demographics
NPI:1568535532
Name:MULKAY CARDIOLOGY CONSULTANTS, PC
Entity Type:Organization
Organization Name:MULKAY CARDIOLOGY CONSULTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:JESUS
Authorized Official - Last Name:MULKAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-996-9244
Mailing Address - Street 1:493 ESSEX ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1215
Mailing Address - Country:US
Mailing Address - Phone:201-996-9255
Mailing Address - Fax:201-996-9257
Practice Address - Street 1:493 ESSEX ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1215
Practice Address - Country:US
Practice Address - Phone:201-996-9255
Practice Address - Fax:201-996-9257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA063786207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ01895436Medicaid
NJG63897Medicare UPIN
NJ01895436Medicaid