Cardiology Professional Services at Raritan Bay Inc

Organization Active NPI Cardiovascular Disease Physician · Perth Amboy, NJ

NPI 1013021864 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1013021864
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
Legal business name
CARDIOLOGY PROFESSIONAL SERVICES AT RARITAN BAY INC
Practice address
530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone
(732) 324-5167
NPI assigned
Aug 18, 2006
Organization subpart
No

Authorized official

Name
Mark Lee Niemiera, MD
Title
Owner
Phone
(732) 442-1441

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0000X Yes

Addresses

Primary practice location

530 New Brunswick Ave
Perth Amboy, NJ 08861

Mailing address

PO Box 447
Perth Amboy, NJ 08861
Phone (732) 290-0100

Other identifiers

IdentifierTypeStateIssuer
6945503MedicaidNJ

Other providers in Perth Amboy, NJ

All providers in Perth Amboy, NJ · Cardiovascular Disease Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.