Dover Cardiology Center, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

DOVER CARDIOLOGY CENTER, LLC

Practice address

437 Lakehurst Rd
Toms River, NJ 08755-7378

Phone

(732) 557-4777

Fax

(732) 557-4887

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Hani R Douedi, M.D.NPI 1922073949

Title

Owner

Phone

(732) 557-4777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/31d30d44-6840-4141-93e1-b13c2f0041c7/

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hani R Douedi, MD

  • Cardiovascular Disease Physician
  • Toms River, NJ
  • NPI 1922073949
  Medicare reassignment Care Compare group NPD Authorized official
• Gail Baker, APN

  • Nurse Practitioner
  • Newark, NJ
  • NPI 1639204043
  Medicare reassignment Care Compare group NPD
• Samantha Rose Waltimyer, NP

  • Gerontology Nurse Practitioner
  • Toms River, NJ
  • NPI 1114746872
  Medicare reassignment Care Compare group NPD
• Thomas F Rizzo, M.D.

  • Cardiovascular Disease Physician
  • Eatontown, NJ
  • NPI 1194799445
  Medicare reassignment NPD

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1104909241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1729",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087541729",
            "telephone_number": "732-557-4777",
            "fax_number": "732-557-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 LAKEHURST RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087557378",
            "telephone_number": "732-557-4777",
            "fax_number": "732-557-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVER CARDIOLOGY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "DOUEDI",
        "authorized_official_first_name": "HANI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-557-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pankaj M Doshi, MD
• Ree Dotts, PHARMD
• Hani R Douedi, MD
• Jennifer Mary Douedi
• Steven Douedi, MD
• Dover Family Medicine, P.a.
• Dover Family Therapy
• Dover Gastroenterology, P.a.
• Dover Heart Specialists, P.C.
• Dover Internal Medicine, LLC

• Cardiovascular Disease Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.