Individual provider Active NPI

Rimvida Obeleniene, MD FACC

  • Cardiovascular Disease Physician
  • Fair Lawn, NJ
National Provider Identifier
1073559597
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA0786500 Issued in NJ
Practice address
22-18 Broadway
Fairlawn, NJ 07410-2026
Phone
(201) 475-5050
Fax
(201) 475-5522
NPI assigned
Jun 22, 2006
Last updated
Sep 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA0786500 NJ Primary

Addresses

Primary practice location

22-18 Broadway
Fairlawn, NJ 07410-2026

Mailing address

22-18 Broadway
Fairlawn, NJ 07410-2026
Phone (201) 475-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060301000371 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9537181607 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

1225 McBride Ave
Woodland Park, NJ 07424-3813

22 -02 Broadway
Fair Lawn, NJ 07410-3016

223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone (201) 447-8000

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601

350 Engle S
5TH FL Room 5518
Englewood, NJ 07631-1808
Phone (201) 568-5250

350 Engle St
Englewood, NJ 07631-1808

350 Engle St Main
Suite 256
Englewood, NJ 07631-1808
Phone (201) 894-3364

637 Route 23
Pompton Plains, NJ 07444-1419
Phone (862) 666-9210

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA0786500NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Josephs Physicians Healthcare Group Inc Cardiovascular Disease CurrentSince Jan 1, 2011 Accepting new patients
Garden State Healthcare Associates, LLC Cardiovascular Disease CurrentSince Jul 1, 2014 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Jul 30, 2016 Accepting new patients

Locations

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

22-18 Broadway
Fair Lawn, NJ 07410
Phone (973) 475-5050

22-18 Broadway
Ste 201
Fair Lawn, NJ 07410
Phone 20147550501141

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

183 Illinois Ave
Paterson, NJ 07503
Phone (973) 523-3400

70 Hilltop Rd
Ste 1001
Ramsey, NJ 07446

70 Hilltop Rd
Ste 3001
Ramsey, NJ 07446
Phone (201) 934-0043

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

1225 McBride Ave
Ste 201
Woodland Park, NJ 07424
Phone (973) 256-5557

1225 McBride Ave
Ste 223
Woodland Park, NJ 07424
Phone (973) 595-5345

999 McBride Ave
Ste B204
Woodland Park, NJ 07424
Phone (973) 256-5667

Interoperability endpoints

  • Direct secure messaging: rimvida.obeleniene@direct.carepointhealth.org
  • Direct secure messaging: robeleniene236552@direct.englewoodhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1073559597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22-18 BROADWAY",
            "city": "FAIRLAWN",
            "state": "NJ",
            "postal_code": "074102026",
            "telephone_number": "201-475-5050",
            "fax_number": "973-928-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22-18 BROADWAY",
            "city": "FAIRLAWN",
            "state": "NJ",
            "postal_code": "074102026",
            "telephone_number": "201-475-5050",
            "fax_number": "201-475-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBELENIENE",
        "first_name": "RIMVIDA",
        "credential": "MD FACC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA0786500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.