Organization Active NPI

Monmouth Ocean Children'S Heart Center, PA

  • Pediatric Cardiology Physician
  • Wall Township, NJ
National Provider Identifier
1306904420
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
MONMOUTH OCEAN CHILDREN'S HEART CENTER, PA
Practice address
3204 Allaire Rd
Wall Township, NJ 07719-9165
Phone
(732) 282-1060
Fax
(732) 282-1061
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Loyda I Rivera, M.D.NPI 1235167123
Title
Owner
Phone
(732) 282-1060

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
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0202X Primary

Addresses

Primary practice location

3204 Allaire Rd
Wall Township, NJ 07719-9165

Mailing address

3204 Allaire Rd
Wall Township, NJ 07719-9165
Phone (732) 282-1060

Other names 1

  • Monmouth Ocean Children's Heart Center Other name

National Provider Directory

National Provider Directory

Locations

3204 Allaire Rd
Wall Township, NJ 07719
Phone (732) 282-1060

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306904420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 ALLAIRE RD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199165",
            "telephone_number": "732-282-1060",
            "fax_number": "732-282-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 ALLAIRE RD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199165",
            "telephone_number": "732-282-1060",
            "fax_number": "732-282-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH OCEAN CHILDREN'S HEART CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "LOYDA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-282-1060",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monmouth Ocean Children's Heart Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.