Cardiac, Thoracic and Vascular Surgical Associate, P.a.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

MA37001 Issued in NJ

Legal business name

CARDIAC, THORACIC AND VASCULAR SURGICAL ASSOCIATE, P.A.

Practice address

123 Highland Ave
Suite G2
Glen Ridge, NJ 07028-1527

Phone

(973) 743-9900

Fax

(973) 743-3222

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth N Holwitt, M.D.

Title

Chief Executive Officer

Phone

(973) 743-9900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1174652077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVE",
            "address_2": "SUITE G2",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281527",
            "telephone_number": "973-743-9900",
            "fax_number": "973-743-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVE",
            "address_2": "SUITE G2",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281527",
            "telephone_number": "973-743-9900",
            "fax_number": "973-743-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC, THORACIC AND VASCULAR SURGICAL ASSOCIATE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "HOLWITT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "973-743-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "MA37001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Charles Boorjian, M.D.,F.A.C.S.
• Gillian Boyd-Woschinko, MD
• Karen Calhoun
• Elizabeth Candela, MA, RDN, ACSM EP(C)
• Ushtavaity Davar Canteenwalla, MS, CGC
• Caroline Szpalski MD P.C.
• Hanna Yoo Carrasco, DO
• Jemima M Celestin, NP
• Mark D Chase, MD
• Asad M Cheema, MD

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Glen Ridge, NJ
• Providers in Glen Ridge, NJ by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.