Provider Demographics
NPI:1760694343
Name:CARDIOVASCULAR ASSOCIATES OF NORTH JERSEY, P.C.
Entity Type:Organization
Organization Name:CARDIOVASCULAR ASSOCIATES OF NORTH JERSEY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D., PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SUEDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-568-3690
Mailing Address - Street 1:25 ROCKWOOD PL
Mailing Address - Street 2:SUITE 440
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-4957
Mailing Address - Country:US
Mailing Address - Phone:201-568-3690
Mailing Address - Fax:201-568-3667
Practice Address - Street 1:25 ROCKWOOD PL
Practice Address - Street 2:STE 440
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-4957
Practice Address - Country:US
Practice Address - Phone:201-568-3690
Practice Address - Fax:201-568-3667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05797800207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5188407Medicaid
NJ049270Medicare ID - Type Unspecified
NJ5188407Medicaid