Organization Active NPI

Garden State Cardiology Associates P.C.

  • Cardiology Technician
  • Voorhees, NJ
National Provider Identifier
1114081494
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiology TechnicianTaxonomy code 246W00000X
License
MA60281 Issued in NJ
Legal business name
GARDEN STATE CARDIOLOGY ASSOCIATES P.C.
Practice address
707 White Horse Rd
C 104
Voorhees, NJ 08043-2461
Phone
(856) 782-9200
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Authorized official

Name
Rajendra B Patel, M.D.F.A.C.C.
Title
Cardiologist
Phone
(856) 782-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiology TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246W00000X MA60281 NJ Primary

Addresses

Primary practice location

707 White Horse Rd
C 104
Voorhees, NJ 08043-2461

Mailing address

707 White Horse Rd
C 104
Voorhees, NJ 08043-2461
Phone (856) 782-9200

Other identifiers 1

IdentifierTypeStateIssuer
6147607MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1114081494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 WHITE HORSE RD",
            "address_2": "C 104",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432461",
            "telephone_number": "856-782-9200",
            "fax_number": "856-782-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WHITE HORSE RD",
            "address_2": "C 104",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432461",
            "telephone_number": "856-782-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE CARDIOLOGY ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "856-782-9200",
        "authorized_official_credential": "M.D.F.A.C.C."
    },
    "taxonomies": [
        {
            "code": "246W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Cardiology",
            "state": "NJ",
            "license": "MA60281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6147607",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.