Organization Active NPI

Heart Center of Hudson County, LLC

  • Cardiovascular Disease Physician
  • North Bergen, NJ
National Provider Identifier
1295837748
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
HEART CENTER OF HUDSON COUNTY, LLC
Practice address
1625 JFK Blvd
North Bergen, NJ 07047
Phone
(201) 216-3060
Fax
(201) 499-0253
NPI assigned
Sep 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Bakul Desai, MDNPI 1376654624
Title
President
Phone
(201) 216-3060

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X

Addresses

Primary practice location

1625 JFK Blvd
North Bergen, NJ 07047

Mailing address

600 Pavonia Ave
FL 5
Jersey City, NJ 07306-2929
Phone (201) 216-3060

Other identifiers 1

IdentifierTypeStateIssuer
0014826MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040218000489 NJ Part B Supplier - Clinic/Group Practice 7012802051 Receives reassigned benefits from 2 practitioners
Practice locations: Jersey City, NJ; North Bergen, NJ; Secaucus, NJ

National Provider Directory

National Provider Directory

Locations

600 Pavonia Ave
Ste 8
Jersey City, NJ 07306
Phone (201) 216-3060

1625 Kennedy Blvd
#1
North Bergen, NJ 07047
Phone (201) 216-3060

714 10th St
Ste 1
Secaucus, NJ 07094
Phone (201) 392-9127

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": "1157328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1295837748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PAVONIA AVE",
            "address_2": "FL 5",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062929",
            "telephone_number": "201-216-3060",
            "fax_number": "201-499-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 JFK BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "07047",
            "telephone_number": "201-216-3060",
            "fax_number": "201-499-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CENTER OF HUDSON COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-04",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "BAKUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-216-3060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014826",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.