Organization Active NPI

Cardiovascular Associates, P.a

  • Vascular Surgery Physician
  • Fair Lawn, NJ
National Provider Identifier
1295988616
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
024765 Issued in NJ
Legal business name
CARDIOVASCULAR ASSOCIATES, P.A
Practice address
10-14 Saddle River Rd
Fair Lawn, NJ 07410-5728
Phone
(201) 794-3256
Fax
(201) 794-6457
NPI assigned
Oct 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Authorized official

Name
Dr. Mahmud Bangash, M,D,NPI 1073606109
Title
President
Phone
(201) 794-3256

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
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X 024765 NJ Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X 024765 NJ

Addresses

Primary practice location

10-14 Saddle River Rd
Fair Lawn, NJ 07410-5728

Mailing address

10-14 Saddle River Rd
Fair Lawn, NJ 07410-5728
Phone (201) 794-3256

Other identifiers 1

IdentifierTypeStateIssuer
2670909MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081224000195 NJ Part B Supplier - Clinic/Group Practice 7618039785 Receives reassigned benefits from 1 practitioner
Practice locations: Fair Lawn, NJ

National Provider Directory

National Provider Directory

Locations

10-14 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 794-3256

Practitioners & affiliated clinicians

Practitioners 1

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": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1295988616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10-14 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105728",
            "telephone_number": "201-794-3256",
            "fax_number": "201-794-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10-14 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105728",
            "telephone_number": "201-794-3256",
            "fax_number": "201-794-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR ASSOCIATES, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "BANGASH",
        "authorized_official_first_name": "MAHMUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-794-3256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M,D,"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "024765",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "024765",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2670909",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.