Advanced Cardiovascular Interventions, PA
Organization Active NPI Cardiovascular Disease Physician · Hackensack, NJ
NPI 1134433121 · NPPES record last updated Dec 17, 2025
Key facts
- NPI
- 1134433121
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 25MA07844400 (NJ)
- Legal business name
- ADVANCED CARDIOVASCULAR INTERVENTIONS, PA
- Practice address
- 363 Prospect Ave
Hackensack, NJ 07601-2505 - Phone
- (201) 265-5700
- Fax
- (855) 265-7385
- NPI assigned
- Aug 2, 2010
- Organization subpart
- No
Authorized official
- Name
- Hamid M Nia
- Title
- Owner
- Phone
- (201) 265-5700
Practitioners 8
-
Ashley Rinaldi Dettra, MSN, RN, CCRN, NP-C
-
Hamid M Nia, MD
-
David J O'Connor, M.D.
-
Juli Ann Palatty, DNP
-
Jaina Vallarta, RN, MSN, APRN-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101220000086 | NJ | Part B Supplier - Clinic/Group Practice | 5193913077 |
Receives reassigned benefits from 8 practitioners Practice locations: Hackensack, NJ |
National Provider Directory
Locations
6-20 Plaza Rd
Fl 2
Fair Lawn, NJ 07410
Phone (201) 265-5700
20 Prospect Ave
Ste 809
Hackensack, NJ 07601
Phone (201) 441-9800
363 Prospect Ave
Hackensack, NJ 07601
Phone (201) 265-5700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | 25MA07844400 | NJ | Yes |
Addresses
Primary practice location
363 Prospect Ave
Hackensack, NJ 07601-2505
Mailing address
PO Box 1513
Paramus, NJ 07653-1513
Phone (201) 265-5700
Other providers in Hackensack, NJ
- Charles Andrew Adams Jr.
- Lawrence George Adelsohn
- Nicole Adiatu
- Michael Adjei
- Adriana Mendietta-Saeboe DDS PA
- Advanced Care Services LLC
- Advanced Endodontics Alliance
- Advanced Health Center, P.C.
- Advanced Medical Center PC
- Advanced Neurosurgery Associates PC
All providers in Hackensack, NJ · Cardiovascular Disease Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.