Organization Active NPI

Clarabarton Cardio Medical Association Inc.

  • Cardiovascular Disease Physician
  • Fords, NJ
National Provider Identifier
1215019997
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CLARABARTON CARDIO MEDICAL ASSOCIATION INC.
Practice address
565 New Brunswick Ave
Fords, NJ 08863-2162
Phone
(732) 738-8000
NPI assigned
Oct 20, 2006
Last updated
Oct 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Pervaize Latif, M.D.NPI 1174616064
Title
President
Phone
(732) 738-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

565 New Brunswick Ave
Fords, NJ 08863-2162

Mailing address

565 New Brunswick Ave
Fords, NJ 08863-2162
Phone (732) 738-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050112000182 NJ Part B Supplier - Clinic/Group Practice 3375591704 Receives reassigned benefits from 2 practitioners
Practice locations: Fords, NJ; Metuchen, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1215019997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 NEW BRUNSWICK AVE",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "088632162",
            "telephone_number": "732-738-8000",
            "fax_number": "732-738-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 NEW BRUNSWICK AVE",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "088632162",
            "telephone_number": "732-738-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARABARTON CARDIO MEDICAL ASSOCIATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "LATIF",
        "authorized_official_first_name": "PERVAIZE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-738-8000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fords, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.