Provider Demographics
NPI:1356372049
Name:CARDIOVASCULAR CONSULTANTS OF NORTH JERSEY
Entity type:Organization
Organization Name:CARDIOVASCULAR CONSULTANTS OF NORTH JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RIND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-288-4252
Mailing Address - Street 1:777 TERRACE AVE
Mailing Address - Street 2:SUITE 311
Mailing Address - City:HASBROUCK HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07604-3110
Mailing Address - Country:US
Mailing Address - Phone:201-288-4252
Mailing Address - Fax:201-288-7172
Practice Address - Street 1:777 TERRACE AVE
Practice Address - Street 2:SUITE 311
Practice Address - City:HASBROUCK HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07604-3110
Practice Address - Country:US
Practice Address - Phone:201-288-4252
Practice Address - Fax:201-288-7172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0400184000OtherAMERIHEALTH
NJ0400184000OtherAMERIHEALTH
NJ=========OtherTAX ID#