Provider Demographics
NPI:1922031434
Name:CARDIOLOGY ASSOCIATES OF SOMERSET COUNTY,P.A.
Entity Type:Organization
Organization Name:CARDIOLOGY ASSOCIATES OF SOMERSET COUNTY,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIVANG
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIVEDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-722-6410
Mailing Address - Street 1:465 UNION AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-3196
Mailing Address - Country:US
Mailing Address - Phone:908-722-6410
Mailing Address - Fax:908-429-8503
Practice Address - Street 1:465 UNION AVE
Practice Address - Street 2:SUITE A
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-3196
Practice Address - Country:US
Practice Address - Phone:908-722-6410
Practice Address - Fax:908-429-8503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJCA435456-A3QMedicare ID - Type Unspecified