Provider Demographics
NPI:1689625477
Name:OWENS VERGARI UNWALA CARDIOLOGY ASSOCIATES, PA
Entity Type:Organization
Organization Name:OWENS VERGARI UNWALA CARDIOLOGY ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:VERGARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-845-6807
Mailing Address - Street 1:17 W RED BANK AVE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-1630
Mailing Address - Country:US
Mailing Address - Phone:856-845-6807
Mailing Address - Fax:856-845-3760
Practice Address - Street 1:17 W RED BANK AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-1630
Practice Address - Country:US
Practice Address - Phone:856-845-6807
Practice Address - Fax:856-845-3760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA050156OtherPENNSYLVANIA MEDICARE
NJ1165658OtherHORIZON MERCY
NJ0108319000OtherAMERIHEALTH
PA0108319000OtherPENNSYLVANIA BLUE SHIELD
NJ28083OtherKEYSTONE MERCY
NJ2868903Medicaid
NJ33410OtherAETNA HMO
NJCA3971OtherRAILROAD MEDICARE
NJ1165658OtherHORIZON MERCY
NJ2868903Medicaid