Organization Active NPI

Cardiac Care Cosultants, LLC

  • Cardiovascular Disease Physician
  • Galloway, NJ
National Provider Identifier
1033409883
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIAC CARE COSULTANTS, LLC
Practice address
415 Chris Gaupp Dr
Suite C
Galloway, NJ 08205-4440
Phone
(609) 404-1112
Fax
(609) 748-7574
NPI assigned
Apr 13, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mayuri H Patel, MD
Title
MD
Phone
(609) 404-1112

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

NPPES NPI Registry

Primary practice location

415 Chris Gaupp Dr
Suite C
Galloway, NJ 08205-4440

Mailing address

415 Chris Gaupp Dr
Suite C
Galloway, NJ 08205-4440
Phone (609) 404-1112

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 13, 2011.

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1033409883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CHRIS GAUPP DR",
            "address_2": "SUITE C",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054440",
            "telephone_number": "609-404-1112",
            "fax_number": "609-748-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CHRIS GAUPP DR",
            "address_2": "SUITE C",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054440",
            "telephone_number": "609-404-1112",
            "fax_number": "609-748-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC CARE COSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAYURI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "609-404-1112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.