Active NPI
Kominos Integrative Cardiology, LLC
- Medical Specialty Clinic/Center
- West Long Branch, NJ
National Provider Identifier
1235503665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- MA4696500
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.