Active NPI
Jagadish V. Damle MD, PA
- Cardiovascular Disease Physician
- Hoboken, NJ
National Provider Identifier
1104111459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jagadish V. Damle, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3148301 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Cardiovascular Disease Physician
- Hoboken, NJ
- NPI 1821106667
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.