Individual provider Active NPI

Adil Pervaiz, MD

  • Interventional Cardiology Physician
  • Cedar Knolls, NJ
National Provider Identifier
1174937940
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MA11220300 Issued in NJ
Practice address
65 Ridgedale Ave
Cedar Knolls, NJ 07927-1313
Phone
(973) 401-1100
NPI assigned
Jun 19, 2014
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA11220300 NJ
Interventional Cardiology Physician 207RI0011X 25MA11220300 NJ Primary

Addresses

Primary practice location

65 Ridgedale Ave
Cedar Knolls, NJ 07927-1313

Mailing address

65 Ridgedale Ave
Cedar Knolls, NJ 07927-1313
Phone (917) 856-2509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171024002862 NY Practitioner - Internal Medicine 4587930243 Reassigns benefits to 3 organizations
I20220606002412 NJ Practitioner - Interventional Cardiology 4587930243 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiovascular Health Consultants, P.a.Group PAC ID 8325934706, 118 clinicians
Advanced Cardiology LLCGroup PAC ID 5597751735, 29 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5915

65 Ridgedale Ave
Cedar Knolls, NJ 07927-1313
Phone (973) 401-1100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting50
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Maimonides Primary Care FPP CurrentSince Nov 1, 2017 Accepting new patients
John M Dalena and Darren R Blumberg MD LLC CurrentSince Mar 27, 2022 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Nov 1, 2017 Accepting new patients
Maimonides Medical Center Current Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Sep 1, 2023 Accepting new patients
Advanced Cardiology, LLC Cardiovascular Disease CurrentSince Jul 1, 2022 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Jul 24, 2017 Accepting new patients
Cardiovascular Health Consultants, P.a. CurrentSince Feb 1, 2023 Accepting new patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Sep 1, 2023 Accepting new patients
Practice Associates Medical Group PastSince Jul 9, 2018 Accepting new patients

Locations

65 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (908) 979-1302

117 Seber Rd
Ste 1B
Hackettstown, NJ 07840
Phone (908) 979-1302

687 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 979-1302

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

12 Lawrence Rd
Ste 101102
Newton, NJ 07860
Phone (973) 300-1302

755 Memorial Pkwy
Ste 106
Phillipsburg, NJ 08865
Phone (908) 454-5221

225 State Route 10 E
Ste 203
Succasunna, NJ 07876
Phone (973) 584-5221

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: adil.pervaiz@slpg.direct-sluhn.org
  • Direct secure messaging: adilpervaiz@mai.allscriptsdirect.net
  • Direct secure messaging: apervaiz146731@nychhc.direct-ci.com
  • Direct secure messaging: apervaiz461895@direct.ahsys.org

Organizations & group practices 11

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

Hospital & facility affiliations 5

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1174937940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 RIDGEDALE AVE",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271313",
            "telephone_number": "917-856-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 RIDGEDALE AVE",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271313",
            "telephone_number": "973-401-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERVAIZ",
        "first_name": "ADIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA11220300",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA11220300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

Verify at the official NPI Registry.