Organization Active NPI

Cardiovascular Medical Group of NJ

  • Interventional Cardiology Physician
  • East Brunswick, NJ
National Provider Identifier
1063448520
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MA63839 Issued in NJ
Legal business name
CARDIOVASCULAR MEDICAL GROUP OF NJ
Practice address
1 Race Track Rd
East Brunswick, NJ 08816-3804
Phone
(732) 238-2820
Fax
(732) 238-9820
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Olukayode Oladeji, M.D.
Title
Partner
Phone
(732) 238-2820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X MA63839 NJ Primary

Addresses

Primary practice location

1 Race Track Rd
East Brunswick, NJ 08816-3804

Mailing address

1 Race Track Rd
East Brunswick, NJ 08816-3804
Phone (732) 238-2820

Other identifiers 1

IdentifierTypeStateIssuer
9081208MedicaidNJ

National Provider Directory

National Provider Directory

Locations

422 Route 18
East Brunswick, NJ 08816
Phone (732) 238-9030

717 N Beers St
Ste 2D
Holmdel, NJ 07733
Phone (732) 203-9680

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063448520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RACE TRACK RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163804",
            "telephone_number": "732-238-2820",
            "fax_number": "732-238-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RACE TRACK RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163804",
            "telephone_number": "732-238-2820",
            "fax_number": "732-238-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR MEDICAL GROUP OF NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLADEJI",
        "authorized_official_first_name": "OLUKAYODE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-238-2820",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "MA63839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9081208",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.