Organization Active NPI

Jagadish V. Damle MD, PA

  • Cardiovascular Disease Physician
  • Hoboken, NJ
National Provider Identifier
1104111459
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
JAGADISH V. DAMLE MD, PA
Practice address
2 Marineview Plaza
Hoboken, NJ 07030-5760
Phone
(201) 420-1715
Fax
(201) 420-1179
NPI assigned
Jun 15, 2011
Last updated
Jun 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Jagadish V. Damle, M.D.NPI 1821106667
Title
President
Phone
(201) 420-1715

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary
Hematology & Oncology Physician 207RH0003X

Addresses

Primary practice location

2 Marineview Plaza
Hoboken, NJ 07030-5760

Mailing address

2 Marineview Plaza
Hoboken, NJ 07030-5760
Phone (201) 420-1715

Other identifiers 1

IdentifierTypeStateIssuer
3148301MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1104111459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MARINEVIEW PLAZA",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305760",
            "telephone_number": "201-420-1715",
            "fax_number": "201-420-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MARINEVIEW PLAZA",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305760",
            "telephone_number": "201-420-1715",
            "fax_number": "201-420-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGADISH V. DAMLE MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "DAMLE",
        "authorized_official_first_name": "JAGADISH",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-420-1715",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3148301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.