Organization Active NPI

Kominos Integrative Cardiology, LLC

  • Medical Specialty Clinic/Center
  • West Long Branch, NJ
National Provider Identifier
1235503665
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MA4696500 Issued in NJ
Legal business name
KOMINOS INTEGRATIVE CARDIOLOGY, LLC
Practice address
107 Monmouth Rd Ste 201
West Long Branch, NJ 07764-1021
Phone
(732) 620-9398
NPI assigned
Nov 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Dr. Vivian Akrive Kominos, MD
Title
Owner/Cardiologist
Phone
(732) 620-9398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MA4696500 NJ Primary

Addresses

Primary practice location

107 Monmouth Rd Ste 201
West Long Branch, NJ 07764-1021

Mailing address

107 Monmouth Rd Ste 201
West Long Branch, NJ 07764-1021
Phone (732) 620-9398

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1235503665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MONMOUTH RD STE 201",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641021",
            "telephone_number": "732-620-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MONMOUTH RD STE 201",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641021",
            "telephone_number": "732-620-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOMINOS INTEGRATIVE CARDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "KOMINOS",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "AKRIVE",
        "authorized_official_title_or_position": "OWNER/CARDIOLOGIST",
        "authorized_official_telephone_number": "732-620-9398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "MA4696500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.