Organization Active NPI

Union County Cardiology Associates PA

  • Cardiovascular Disease Physician
  • Union, NJ
National Provider Identifier
1104921543
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
UNION COUNTY CARDIOLOGY ASSOCIATES PA
Practice address
1317 Morris Ave
Union, NJ 07083
Phone
(908) 964-9370
Fax
(908) 964-9308
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Kastooril Gopinathan, MD
Title
President
Phone
(908) 964-9370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1317 Morris Ave
Union, NJ 07083

Mailing address

1317 Morris Ave
Union, NJ 07083
Phone (908) 964-9370

Other identifiers 1

IdentifierTypeStateIssuer
7502605MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100528000451 NJ Part B Supplier - Clinic/Group Practice 2062541089 Receives reassigned benefits from 4 practitioners
Practice locations: Union, NJ

National Provider Directory

National Provider Directory

Locations

1317 Morris Ave
Union, NJ 07083
Phone (908) 964-9370

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1104921543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "908-964-9370",
            "fax_number": "908-964-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "908-964-9370",
            "fax_number": "908-964-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COUNTY CARDIOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "GOPINATHAN",
        "authorized_official_first_name": "KASTOORIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-964-9370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7502605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.