Individual provider Active NPI

Pedro J Escandon, M.D.

  • Interventional Cardiology Physician
  • Brick, NJ
National Provider Identifier
1215917737
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MA61878 Issued in NJ
Practice address
459 Jack Martin Blvd
Ste 4
Brick, NJ 08724-7724
Phone
(732) 458-6200
Fax
(732) 458-9464
NPI assigned
Jan 19, 2006
Last updated
May 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 MA61878 NJ
Interventional Cardiology Physician 207RI0011X MA61878 NJ Primary

Addresses

Primary practice location

459 Jack Martin Blvd
Ste 4
Brick, NJ 08724-7724

Mailing address

459 Jack Martin Blvd Ste 2
Brick, NJ 08724-7724
Phone (732) 458-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050317000131 NJ Practitioner - Interventional Cardiology 0345295895 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1988
Medicare assignment
May accept Medicare assignment
Group practices
Coastal Cardiovascular Consultants, PAGroup PAC ID 0042223778, 7 clinicians
Meridian Cardiovascular Interpretive Services PCGroup PAC ID 8527012236, 60 clinicians
Ea Health - New Jersey LLCGroup PAC ID 6103222039, 37 clinicians

Practice addresses (Care Compare)

1930 State Route 35
Suite 3
Wall Township, NJ 07719-3538
Phone (732) 974-8800

1945 Route 33
Neptune, NJ 07753-4859
Phone (732) 776-4300

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 840-2200

459 Jack Martin Blvd
Brick, NJ 08724-7724

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.85 of 100Reported as group
Quality
99.78
Improvement activities
40
Cost
66.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA61878NJMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ea Health - New Jersey LLC CurrentSince Mar 20, 2023 Accepting new patients
Meridian Cardiovascular Interpretive Services PC Cardiovascular Disease CurrentSince Jun 21, 2016 Accepting new patients
Coastal Cardiovascular Consultants, PA Cardiovascular Disease CurrentSince Jun 20, 1995 Accepting new patients

Locations

459 Jack Martin Blvd
Ste 2
Brick, NJ 08724
Phone (732) 458-6200

459 Jack Martin Blvd
Ste 4
Brick, NJ 08724
Phone (732) 747-7077

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

1930 State Route 35
Ste 3
Wall Township, NJ 07719
Phone (732) 359-7060

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

459 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 458-6200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24659/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: pedro.escandon.p1@direct.ccc.nextgenshare.com

Organizations & group practices 3

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 6

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1215917737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 JACK MARTIN BLVD STE 2",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247724",
            "telephone_number": "732-458-6200",
            "fax_number": "732-458-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 JACK MARTIN BLVD",
            "address_2": "STE 4",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247724",
            "telephone_number": "732-458-6200",
            "fax_number": "732-458-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCANDON",
        "first_name": "PEDRO",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA61878",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "MA61878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.