Organization Active NPI

Ocean Heart Inc.

  • Cardiovascular Disease Physician
  • Maplewood, NJ
National Provider Identifier
1295756641
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
OCEAN HEART INC.
Practice address
2010 Springfield Ave
Maplewood, NJ 07040-3437
Phone
(973) 371-3166
Fax
(973) 371-3266
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Authorized official

Name
Sunil PatelNPI 1255354726
Title
M.D
Phone
(973) 371-3166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2010 Springfield Ave
Maplewood, NJ 07040-3437

Mailing address

PO Box 178
Colonia, NJ 07067-0178
Phone (973) 371-3166

Other identifiers 1

IdentifierTypeStateIssuer
0010332MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050110000003 NJ Part B Supplier - Clinic/Group Practice 6901854728 Receives reassigned benefits from 2 practitioners
Practice locations: Irvington, NJ; Maplewood, NJ; Jersey City, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1083500Ocean Heart Inc2010 Springfield Ave, Maplewood, NJ 07040Certificate of waiverJan 1, 2028

National Provider Directory

National Provider Directory

Locations

40 Union Ave
Ste 101
Irvington, NJ 07111
Phone (973) 371-3166

377 Jersey Ave
Ste 230
Jersey City, NJ 07302
Phone (201) 332-1102

2010 Springfield Ave
Maplewood, NJ 07040
Phone (973) 275-9500

116 Millburn Ave
Ste 106
Millburn, NJ 07041
Phone (973) 376-3622

Practitioners & affiliated clinicians

Practitioners 5

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1295756641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 178",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070670178",
            "telephone_number": "973-371-3166",
            "fax_number": "973-371-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 SPRINGFIELD AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403437",
            "telephone_number": "973-371-3166",
            "fax_number": "973-371-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN HEART INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "973-371-3166"
    },
    "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": "0010332",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.