Active NPI
Cardiovascular Associates of Hudson County PA
- Preferred Provider Organization
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- MA72103
- Legal business name
- CARDIOVASCULAR ASSOCIATES OF HUDSON COUNTY PA
- Practice address
- 377 Jersey Ave Ste 410
Jersey City, NJ 07302-4397 - Phone
- (201) 200-0318
- Fax
- (201) 200-0319
- NPI assigned
- Apr 12, 2007
- Last updated
- Nov 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline M Mayes
- Title
- Director
- Phone
- (201) 200-0318
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | MA69555 | NJ | |
| Preferred Provider Organization | 305R00000X | MA72103 | NJ | Primary |
Addresses
Primary practice location
377 Jersey Ave Ste 410
Jersey City, NJ 07302-4397
Mailing address
PO Box 446
Jersey City, NJ 07303-0446
Phone (201) 200-0318
Other practice location 1
1931 Oak Tree Rd Ste 202
Edison, NJ 08820-2072
Phone (732) 372-7633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8973806 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2025516 | Cardiovascular Associates of Hudson County PA | Certificate of waiver | May 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
3900 Park Ave
Ste 104
Edison, NJ 08820
Phone (732) 452-0057
377 Jersey Ave
Ste 410
Jersey City, NJ 07302
Phone (201) 200-0318
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Cardiac Electrophysiology Physician
- Jersey City, NJ
- NPI 1457317844
-
- Cardiovascular Disease Physician
- Jersey City, NJ
- NPI 1699750158
-
- Cardiovascular Disease Physician
- Jersey City, NJ
- NPI 1750724811
-
- Adolescent Medicine (Internal Medicine) Physician
- Jersey City, NJ
- NPI 1104162767
-
- Internal Medicine Physician
- Jersey City, NJ
- NPI 1942538715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604620800000",
"number": "1336363258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 446",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073030446",
"telephone_number": "201-200-0318",
"fax_number": "201-200-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 JERSEY AVE STE 410",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024397",
"telephone_number": "201-200-0318",
"fax_number": "201-200-0319"
}
],
"practiceLocations": [
{
"address_1": "1931 Oak Tree Rd Ste 202",
"address_purpose": "LOCATION",
"city": "Edison",
"state": "NJ",
"postal_code": "088202072",
"country_code": "US",
"telephone_number": "732-372-7633",
"fax_number": "732-372-7634",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CARDIOVASCULAR ASSOCIATES OF HUDSON COUNTY PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A",
"authorized_official_last_name": "MAYES",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "201-200-0318"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "NJ",
"license": "MA69555",
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "NJ",
"license": "MA72103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8973806",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.