Organization Active NPI

Capital Health Clinical Cardiology

  • Cardiovascular Disease Physician
  • Pennington, NJ
National Provider Identifier
1265679864
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CAPITAL HEALTH CLINICAL CARDIOLOGY
Practice address
2480 Pennington Road
Suite 101
Pennington, NJ 08534
Phone
(609) 737-5911
Fax
(609) 737-5914
NPI assigned
Jan 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Nathan Bosk
Title
VP Ambulatory Services Division
Phone
(609) 278-5438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2480 Pennington Road
Suite 101
Pennington, NJ 08534

Mailing address

P.O. Box 8500-7761
Philadelphia, PA 19178-7761
Phone (609) 815-7810

Other identifiers 1

IdentifierTypeStateIssuer
0187496MedicaidNJ

National Provider Directory

National Provider Directory

Locations

2480 Pennington Rd
Ste 101
Pennington, NJ 08534
Phone (609) 737-5911

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1265679864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8500-7761",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191787761",
            "telephone_number": "609-815-7810",
            "fax_number": "609-737-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 PENNINGTON ROAD",
            "address_2": "SUITE 101",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "08534",
            "telephone_number": "609-737-5911",
            "fax_number": "609-737-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL HEALTH CLINICAL CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "BOSK",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "VP AMBULATORY SERVICES DIVISION",
        "authorized_official_telephone_number": "609-278-5438"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0187496",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.