NPIMap

Individual provider Active NPI

Sanjiv Prasad, MD

  • Cardiovascular Disease Physician
  • Springfield, NJ
National Provider Identifier
1164417523
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA07221700 Issued in NJ
Practice address
211 Mountain Ave
Associates in Cardiovascular Disease LLC
Springfield, NJ 07081-2221
Phone
(973) 467-0005
Fax
(973) 912-8989
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA07221700 NJ Primary

Addresses

Primary practice location

211 Mountain Ave
Associates in Cardiovascular Disease LLC
Springfield, NJ 07081-2221

Mailing address

PO Box 416457
Practice Associates Medical Group
Boston, MA 02241-6457
Phone (973) 656-6280

Other identifiers 1

IdentifierTypeStateIssuer
0270911MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050228000491 NJ Practitioner - Cardiovascular Disease (Cardiology) 9436102670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
New York Medical College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians
Cardiovascular Health Consultants, P.a.Group PAC ID 8325934706, 118 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

211 Mountain Ave
Springfield, NJ 07081-2221
Phone (973) 467-0005

Hospital & facility affiliations

  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Memorial Hospital for Cancer and Allied Diseases Hospital, New York, NY, CCN 330154
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Health Consultants, P.a. CurrentSince Dec 26, 2012 Accepting new patients
Practice Associates Medical Group CurrentSince Aug 1, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

140 Central Ave
Ste 200
Clark, NJ 07066
Phone (973) 644-4844

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

211 Mountain Ave
Ste 300
Springfield, NJ 07081
Phone (973) 467-0005

211 Mountain Ave
Springfield, NJ 07081
Phone (973) 467-0005

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1164417523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "address_2": "PRACTICE ASSOCIATES MEDICAL GROUP",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "973-656-6280",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MOUNTAIN AVE",
            "address_2": "ASSOCIATES IN CARDIOVASCULAR DISEASE LLC",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070812221",
            "telephone_number": "973-467-0005",
            "fax_number": "973-912-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "SANJIV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA07221700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0270911",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.