Diagnostic Heart Center of Central NJ

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MA64455 Issued in NJ

Legal business name

DIAGNOSTIC HEART CENTER OF CENTRAL NJ

Practice address

555 Iron Bridge Rd
Suite 16
Freehold, NJ 07728-2975

Phone

(732) 683-9955

Fax

(732) 683-1044

NPI assigned

Oct 30, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Iris Robin Mentle, M.D.NPI 1922054022

Title

President

Phone

(908) 770-8671

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Iris Robin Mentle, MD, FACC

  • Cardiovascular Disease Physician
  • Freehold, NJ
  • NPI 1922054022
  NPD (past) Authorized official

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

{
    "created_epoch": "1477785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477785600000",
    "number": "1225580830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 IRON BRIDGE RD",
            "address_2": "SUITE 16",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282975",
            "telephone_number": "732-683-9955",
            "fax_number": "732-683-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 IRON BRIDGE RD",
            "address_2": "SUITE 16",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282975",
            "telephone_number": "732-683-9955",
            "fax_number": "732-683-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC HEART CENTER OF CENTRAL NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-30",
        "last_updated": "2016-10-30",
        "status": "A",
        "authorized_official_last_name": "MENTLE",
        "authorized_official_first_name": "IRIS",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-770-8671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "MA64455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne C Devoti, LCSW
• Alison Dewaters, DPM
• Marlene Dey, PH.D, APN
• Narinder K Dhillon-Athwal, M.D.
• Promila Dhillon, PH.D
• Dialysis Clinic Inc.
• Nichole Diamond, LPC
• Allison Dicaro
• Danielle Difilippo
• Jody Christopher Digiacomo, M.D.

• Medical Specialty Clinic/Center in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2016; 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.