Provider Demographics
NPI:1881741379
Name:OVERLOOK CARDIAC TESTING
Entity type:Organization
Organization Name:OVERLOOK CARDIAC TESTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT - BOARD OF DIRECTORS
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SHERIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-522-2180
Mailing Address - Street 1:PO BOX 48142
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07101-4842
Mailing Address - Country:US
Mailing Address - Phone:908-522-2180
Mailing Address - Fax:908-522-4603
Practice Address - Street 1:99 BEAUVOIR AVENUE
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07902
Practice Address - Country:US
Practice Address - Phone:908-522-2180
Practice Address - Fax:908-522-4603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ620918Medicare PIN