NPIMap

Organization Active NPI

Cardio Medical and Vein Center PC

  • Interventional Cardiology Physician
  • Sayreville, NJ
National Provider Identifier
1124425772
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MA06406800 Issued in NJ
Legal business name
CARDIO MEDICAL AND VEIN CENTER PC
Practice address
75 Main St
Sayreville, NJ 08872-1561
Phone
(732) 238-3773
Fax
(732) 238-3622
NPI assigned
Nov 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Puneet Sahgal, MDNPI 1811923188
Title
Owner
Phone
(732) 238-3773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X 25MA06406800 NJ Primary

Addresses

Primary practice location

75 Main St
Sayreville, NJ 08872-1561

Mailing address

PO Box 7
Sayreville, NJ 08871-0007
Phone (732) 238-3773

Other identifiers 1

IdentifierTypeStateIssuer
7192606MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150317000949 NJ Part B Supplier - Clinic/Group Practice 3577880350 Receives reassigned benefits from 4 practitioners
Practice locations: Old Bridge, NJ; Sayreville, NJ

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEFCAD

Practitioners 4

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": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1124425772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "SAYREVILLE",
            "state": "NJ",
            "postal_code": "088710007",
            "telephone_number": "732-238-3773",
            "fax_number": "732-238-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MAIN ST",
            "city": "SAYREVILLE",
            "state": "NJ",
            "postal_code": "088721561",
            "telephone_number": "732-238-3773",
            "fax_number": "732-238-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO MEDICAL AND VEIN CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "SAHGAL",
        "authorized_official_first_name": "PUNEET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-238-3773",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA06406800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7192606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayreville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.