Organization Active NPI

Cardiovascular Consultants, PA

  • Specialist
  • Edison, NJ
National Provider Identifier
1174668131
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA04579300 Issued in NJ
Legal business name
CARDIOVASCULAR CONSULTANTS, PA
Practice address
2 Lincoln Hwy
Suite 410
Edison, NJ 08820-3961
Phone
(732) 318-6858
Fax
(732) 906-8540
NPI assigned
Feb 20, 2007
Last updated
Dec 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Mrs. Kathleen M. Skolnick, O.M.
Title
Office Manager
Phone
(732) 318-6858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA04579300 NJ Primary

Addresses

Primary practice location

2 Lincoln Hwy
Suite 410
Edison, NJ 08820-3961

Mailing address

2 Lincoln Hwy
Suite 410
Edison, NJ 08820-3961
Phone (732) 318-6858

Other identifiers 1

IdentifierTypeStateIssuer
3830306MedicaidNJ

National Provider Directory

National Provider Directory

Locations

315 Elmora Ave
Ste 210
Elizabeth, NJ 07208
Phone (908) 351-5911

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1174668131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LINCOLN HWY",
            "address_2": "SUITE 410",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203961",
            "telephone_number": "732-318-6858",
            "fax_number": "732-906-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LINCOLN HWY",
            "address_2": "SUITE 410",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203961",
            "telephone_number": "732-318-6858",
            "fax_number": "732-906-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "SKOLNICK",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-318-6858",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.M."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA04579300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3830306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.