Cardiovascular Associates of the Delaware Valley,P a
Organization Active NPI Cardiovascular Disease Physician · Haddon Heights, NJ
NPI 1366495632 · NPPES record last updated Dec 10, 2007
Key facts
- NPI
- 1366495632
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- CARDIOVASCULAR ASSOCIATES OF THE DELAWARE VALLEY,P A
- Practice address
- 210 W Atlantic Ave
Haddon Heights, NJ 08035-1715 - Phone
- (856) 547-0539
- Fax
- (856) 547-3178
- NPI assigned
- May 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Kim Dawson
- Title
- Director of Business Office
- Phone
- (856) 547-0539
Member organizations 2
Practitioners 191
-
Michael R Aaron, D.O.
-
Paurush Ambesh, M.D.
-
Renato A Apolito, M.D.
-
Monica Baran, APN
-
Tony N Chu, M.D.
-
Audrey Delcollo, APN
-
Dhaval Desai, MD, MPH
-
Ravi Diwan, MD
-
Anthony Phillip Galzerano, ACNPC-AG
-
Jasrai Singh Gill, MD MBA
-
Ihab Girgis, M.D.
-
Marcus Hanfling, DO
-
Edmund T Karam, MD
-
Sara Karam, M.D.
-
Rahul Kumar, MD
-
Jack Kurtz, MD
-
Adam Maxwell Levine, D.O.
-
Robert A Mohapatra, MD, MPH
-
Joseph Negusei, M.D.
-
Mihir Odak, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D1107213 | Cardiovascular Assoc of the Delaware Valley, PA | Certificate of waiver | Oct 29, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040602001172 | PA | Part B Supplier - Clinic/Group Practice | 9032001284 |
Receives reassigned benefits from 12 practitioners Practice locations: Philadelphia, PA |
| O20040804000725 | NJ | Part B Supplier - Clinic/Group Practice | 9032001284 |
Receives reassigned benefits from 104 practitioners Practice locations: Marlton, NJ; Neptune, NJ; Sewell, NJ; Stratford, NJ; Tinton Falls, NJ; Toms River, NJ; Turnersville, NJ; Vineland, NJ… |
National Provider Directory
Locations
35 Beaverson Blvd
Ste 8D
Brick, NJ 08723
35 Beaverson Blvd
Ste 9B
Brick, NJ 08723
Phone (732) 262-4262
10 Magnolia Ave
Ste F
Bridgeton, NJ 08302
Phone (609) 455-2222
10 Magnolia Ave
Bridgeton, NJ 08302
Phone (609) 455-2222
525 State St
Ste 3
Elmer, NJ 08318
Phone (856) 358-2362
501 Iron Bridge Rd
Ste 1
Freehold, NJ 07728
Phone (732) 294-8999
120 White Horse Pike
Ste 112
Haddon Hgts, NJ 08035
Phone 85654705392215
210 W Atlantic Ave
Haddon Hts, NJ 08035
Phone (856) 546-3003
777 S White Horse Pike
Ste B3
Hammonton, NJ 08037
Phone (856) 546-3003
1 State Route 35
Keyport, NJ 07735
Phone (732) 264-2500
999 Route 73 N
Ste 205
Marlton, NJ 08053
Phone (856) 795-2227
1203 High St N
#B
Millville, NJ 08332
Phone (856) 293-7466
9 Mule Rd
Ste E1
Toms River, NJ 08755
Phone (732) 281-1101
435 Hurffville Cross Keys Rd
Turnersville, NJ 08012
Phone (856) 513-4124
907 N Main Rd
Bldg C
Vineland, NJ 08360
Phone (856) 692-3309
1051 W Sherman Ave
Ste 3A
Vineland, NJ 08360
Phone (856) 691-8070
1038 E Chestnut Ave
Ste 101
Vineland, NJ 08360
1051 W Sherman Ave
Ste 3
Vineland, NJ 08360
Phone (856) 691-8070
1051 W Sherman Ave
Bldg 3
Vineland, NJ 08360
190 N Evergreen Ave
Ste 102B1
Woodbury, NJ 08096
111 S 11th St
Ste 5340
Philadelphia, PA 19107
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes |
Addresses
Primary practice location
210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Mailing address
120 White Horse Pike
Suite 112
Haddon Heights, NJ 08035-1927
Phone (856) 547-0539
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6300006 | Medicaid | NJ |
Other providers in Haddon Heights, NJ
- C a Martina Podiatry Associates PA
- Camden County Foot & Ankle Associates LLC
- Camden County Foot and Ankle Associates LLC
- Eileen F Campbell
- Dennis Armand Cardillo Sr.
- Tracy Ellen Carpenter
- Ralph G Cataldo
- David Allen Cheetham
- Brian Cherrington
- Gloria Ching
All providers in Haddon Heights, NJ · Cardiovascular Disease Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.