Provider Demographics
NPI:1184708596
Name:HEALTHEXCEL CARDIOLOGY ASSOCIATES P.C
Entity type:Organization
Organization Name:HEALTHEXCEL CARDIOLOGY ASSOCIATES P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AJAY
Authorized Official - Middle Name:K
Authorized Official - Last Name:AGARWALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-769-9900
Mailing Address - Street 1:906 OAKTREE ROAD
Mailing Address - Street 2:SUITE J
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080
Mailing Address - Country:US
Mailing Address - Phone:908-222-3505
Mailing Address - Fax:909-769-9999
Practice Address - Street 1:906 OAK TREE AVE
Practice Address - Street 2:SUITE J
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-5127
Practice Address - Country:US
Practice Address - Phone:908-769-9900
Practice Address - Fax:909-769-9999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RC0000X
NJMA066725207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7554303Medicaid
NJ2592395OtherGHI
NJ404300OtherWELLCARE
NJ1143220OtherAMERIGROUP
NJ3433098000OtherAMERIHEALTH
NJ7962361OtherAETNA
NJ91002006705OtherAMERICHOICE
NJ7870234OtherAETNA
NJP3028730OtherOXFORD
NJG65759Medicare UPIN
NJ080411Medicare PIN