NPIMap

Organization Active NPI

Cardiology Group Wayne General Hospital

  • Cardiovascular Disease Physician
  • Wayne, NJ
National Provider Identifier
1063591626
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOLOGY GROUP WAYNE GENERAL HOSPITAL
Practice address
224 Hamburg Tpke
Wayne, NJ 07470-2111
Phone
(973) 790-3232
NPI assigned
Nov 3, 2006
Last updated
Aug 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Authorized official

Name
Victor Abdy, M.D.NPI 1164446795
Title
Physician Director
Phone
(973) 790-3232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

224 Hamburg Tpke
Wayne, NJ 07470-2111

Mailing address

1050 Wall St W Ste 360
Lyndhurst, NJ 07071-3604
Phone (201) 821-7900

Other identifiers 1

IdentifierTypeStateIssuer
3472001MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050330000905 NJ Part B Supplier - Clinic/Group Practice 4385690544 Receives reassigned benefits from 11 practitioners
Practice locations: Wayne, NJ

National Provider Directory

National Provider Directory

Locations

338 Cortlandt St
Belleville, NJ 07109
Phone (973) 751-1359

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1063591626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 WALL ST W STE 360",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713604",
            "telephone_number": "201-821-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702111",
            "telephone_number": "973-790-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY GROUP WAYNE GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "ABDY",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PHYSICIAN DIRECTOR",
        "authorized_official_telephone_number": "973-790-3232",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3472001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.