Individual provider Active NPI

Richard C. Redline, M.D.

  • Cardiovascular Disease Physician
  • Newton, NJ
National Provider Identifier
1104875772
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA040576 Issued in NJ
Practice address
222 High St
Suite 205
Newton, NJ 07860-9612
Phone
(973) 579-2100
Fax
(973) 579-6638
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 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 MA040576 NJ Primary

Addresses

Primary practice location

222 High St
Suite 205
Newton, NJ 07860-9612

Mailing address

222 High St
Newton, NJ 07860-9612
Phone (973) 579-2100

Other identifiers 2

IdentifierTypeStateIssuer
060042135OtherRAILROAD MEDICARE
2306204MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050921000466 NJ Practitioner - Cardiovascular Disease (Cardiology) 1052345824 Reassigns benefits to 1 organization
I20100921001142 PA Practitioner - Cardiovascular Disease (Cardiology) 1052345824 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA040576NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Health Consultants, P.a. CurrentSince Aug 5, 2018 Accepting new patients

Locations

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

175 High St
Newton, NJ 07860
Phone (973) 383-2121

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1104875772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 HIGH ST",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078609612",
            "telephone_number": "973-579-2100",
            "fax_number": "973-579-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 HIGH ST",
            "address_2": "SUITE 205",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078609612",
            "telephone_number": "973-579-2100",
            "fax_number": "973-579-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDLINE",
        "first_name": "RICHARD",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA040576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060042135",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2306204",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

Verify at the official NPI Registry.