Organization Active NPI

Rochelle Park Cardiac Care Center LLC

  • Cardiovascular Disease Physician
  • Rochelle Park, NJ
National Provider Identifier
1124362751
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ROCHELLE PARK CARDIAC CARE CENTER LLC
Practice address
186 Rochelle Ave
Rochelle Park, NJ 07662-4111
Phone
(201) 501-8500
Fax
(201) 501-8523
NPI assigned
Nov 20, 2012
Last updated
Feb 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Constantine RossakisNPI 1356303390
Title
Managing Member
Phone
(201) 489-3440

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 1

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

Addresses

Primary practice location

186 Rochelle Ave
Rochelle Park, NJ 07662-4111

Mailing address

PO Box 340
New Milford, NJ 07646-0340
Phone (201) 501-8500

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1124362751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076460340",
            "telephone_number": "201-501-8500",
            "fax_number": "201-501-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 ROCHELLE AVE",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076624111",
            "telephone_number": "201-501-8500",
            "fax_number": "201-501-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHELLE PARK CARDIAC CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "ROSSAKIS",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-489-3440"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.