Organization Active NPI

New Jersey Cardiac Health Medical Group PA

  • Cardiac Rehabilitation Clinic/Center
  • Mountain View, CA
National Provider Identifier
1205791878
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Clinic/CenterTaxonomy code 261QR0404X
Legal business name
NEW JERSEY CARDIAC HEALTH MEDICAL GROUP PA
Practice address
189 Bernardo Ave
Mountain View, CA 94043-5138
Phone
(855) 338-8800
NPI assigned
Dec 17, 2025
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Mr. Jeremy Edward Haag, CRAT
Title
Clinical Operations Manager
Phone
(615) 474-3314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Clinic/Center 261QR0404X NU Primary

Addresses

Primary practice location

189 Bernardo Ave
Mountain View, CA 94043-5138

Mailing address

100 S Mulberry St Ste 101
Dickson, TN 37055-5023
Phone (615) 474-3314

National Provider Directory

National Provider Directory

Locations

189 Bernardo Ave
Mountain View, CA 94043
Phone (855) 338-8800

NPI Registry JSON

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

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1205791878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MULBERRY ST STE 101",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370555023",
            "telephone_number": "615-474-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 BERNARDO AVE",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940435138",
            "telephone_number": "855-338-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY CARDIAC HEALTH MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "HAAG",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "615-474-3314",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRAT"
    },
    "taxonomies": [
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.