Organization Active NPI

Advanced Cardiology of South Jersey

  • Cardiovascular Disease Physician
  • Mullica Hill, NJ
National Provider Identifier
1083894885
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ADVANCED CARDIOLOGY OF SOUTH JERSEY
Practice address
4 Burton LN Ste 100
Mullica Hill, NJ 08062-9441
Phone
(856) 241-3838
Fax
(856) 241-3849
NPI assigned
Nov 8, 2007
Last updated
Aug 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Vishal Bahal, DO, FACC, FASE, RPVINPI 1831122704
Title
Cardiologist
Phone
(856) 241-3838

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 Physician 207RC0000X NU Primary

Addresses

Primary practice location

4 Burton LN Ste 100
Mullica Hill, NJ 08062-9441

Mailing address

4 Burton LN Ste 100
Mullica Hill, NJ 08062-9441
Phone (856) 241-3838

Other identifiers 1

IdentifierTypeStateIssuer
0021458MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060418000009 NJ Part B Supplier - Clinic/Group Practice 2466461678 Receives reassigned benefits from 7 practitioners
Practice locations: Mullica Hill, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2168845Advanced Cardiology of South Jersey, PC4 Burton Lane, Suite 100, Mullica Hill, NJ 08062Certificate of waiverJul 9, 2027

National Provider Directory

National Provider Directory

Locations

520 Beckett Rd
Ste 300
Logan Township, NJ 08085
Phone (856) 241-3838

Practitioners & affiliated clinicians

Practitioners 8

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": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1083894885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BURTON LN STE 100",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629441",
            "telephone_number": "856-241-3838",
            "fax_number": "856-241-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BURTON LN STE 100",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629441",
            "telephone_number": "856-241-3838",
            "fax_number": "856-241-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARDIOLOGY OF SOUTH JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "BAHAL",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "856-241-3838",
        "authorized_official_credential": "DO, FACC, FASE, RPVI"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021458",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.