Organization Active NPI

Mariano F Battaglia Cardio Vascular Specialists LLC

  • Interventional Cardiology Physician
  • Edison, NJ
National Provider Identifier
1255410890
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MA05930400 Issued in NJ
Legal business name
MARIANO F BATTAGLIA CARDIO VASCULAR SPECIALISTS LLC
Practice address
102 James St
Suite 302
Edison, NJ 08820-3970
Phone
(732) 205-9515
Fax
(732) 205-9516
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Mariano F Battaglia, M.D.
Title
Owner
Phone
(732) 205-9515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X 25MA05930400 NJ Primary

Addresses

Primary practice location

102 James St
Suite 302
Edison, NJ 08820-3970

Mailing address

102 James St
Suite 302
Edison, NJ 08820-3970
Phone (732) 205-9515

Other identifiers 1

IdentifierTypeStateIssuer
5498104MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1255410890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 JAMES ST",
            "address_2": "SUITE 302",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203970",
            "telephone_number": "732-205-9515",
            "fax_number": "732-205-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 JAMES ST",
            "address_2": "SUITE 302",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203970",
            "telephone_number": "732-205-9515",
            "fax_number": "732-205-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANO F BATTAGLIA CARDIO VASCULAR SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "BATTAGLIA",
        "authorized_official_first_name": "MARIANO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-205-9515",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA05930400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5498104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.