Organization Active NPI

Englewood Cardiac Surgery Associates, PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Englewood, NJ
National Provider Identifier
1063545689
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MA70525 Issued in NJ
Legal business name
ENGLEWOOD CARDIAC SURGERY ASSOCIATES, PA
Practice address
350 Engle St
Suite 1000
Englewood, NJ 07631-1808
Phone
(201) 894-3636
Fax
(201) 541-2188
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Dr. M. Arisan Ergin, MD
Title
President
Phone
(201) 894-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X MA70525 NJ Primary

Addresses

Primary practice location

350 Engle St
Suite 1000
Englewood, NJ 07631-1808

Mailing address

350 Engle St
Suite 1000
Englewood, NJ 07631-1808
Phone (201) 894-3636

Other identifiers 1

IdentifierTypeStateIssuer
8239509MedicaidNJ

National Provider Directory

National Provider Directory

Locations

350 Engle St
#5219
Englewood, NJ 07631
Phone (201) 894-3636

350 Engle St
Ste 1000
Englewood, NJ 07631
Phone (201) 894-3636

350 Engle St
#1000
Englewood, NJ 07631
Phone (201) 894-2050

Practitioners & affiliated clinicians

Practitioners 3

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1063545689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ENGLE ST",
            "address_2": "SUITE 1000",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311808",
            "telephone_number": "201-894-3636",
            "fax_number": "201-541-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ENGLE ST",
            "address_2": "SUITE 1000",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311808",
            "telephone_number": "201-894-3636",
            "fax_number": "201-541-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD CARDIAC SURGERY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "ERGIN",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "ARISAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-894-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "MA70525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8239509",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.