Organization Active NPI

Hudson Heart Group, PC

  • Cardiovascular Disease Physician
  • Guttenberg, NJ
National Provider Identifier
1063572246
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA05225300 Issued in NJ
Legal business name
HUDSON HEART GROUP, PC
Practice address
425 70TH St
Guttenberg, NJ 07093-2417
Phone
(201) 854-0055
Fax
(201) 854-2633
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Jose Santana, M.D.NPI 1497750848
Title
M.D.
Phone
(201) 854-0055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 25MA05225300 NJ Primary

Addresses

Primary practice location

425 70TH St
Guttenberg, NJ 07093-2417

Mailing address

PO Box 2566
Guttenberg, NJ 07093-0641
Phone (201) 854-0055

Other identifiers 8

IdentifierTypeStateIssuer
8750079OtherNJAETNA PPO GROUP #
2749194OtherNJAETNA HMO GROUP #
W7H321OtherNJBC/BS NY GROUP #
2081205005OtherNJAMERIHEALTH (SECAUCUS) #
2081205001OtherNJAMERIHEALTH (GUTTENBERG)#
2081205003OtherNJAMERIHEALTH (NEWARK) #
CJ9162OtherNJRAILROAD MDCR GROUP #
5581702MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1063572246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2566",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070930641",
            "telephone_number": "201-854-0055",
            "fax_number": "201-854-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 70TH ST",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070932417",
            "telephone_number": "201-854-0055",
            "fax_number": "201-854-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON HEART GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "201-854-0055",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA05225300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO GROUP #",
            "identifier": "8750079",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO GROUP #",
            "identifier": "2749194",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NY GROUP #",
            "identifier": "W7H321",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH (SECAUCUS) #",
            "identifier": "2081205005",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH (GUTTENBERG)#",
            "identifier": "2081205001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH (NEWARK) #",
            "identifier": "2081205003",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MDCR GROUP #",
            "identifier": "CJ9162",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5581702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guttenberg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.