Organization Active NPI

Fa CV Consultants PC

  • Cardiovascular Disease Physician
  • Montclair, NJ
National Provider Identifier
1366771453
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA08676700 Issued in NJ
Legal business name
FA CV CONSULTANTS PC
Practice address
127 Pine St Ste 1
Montclair, NJ 07042-4868
Phone
(973) 744-4075
Fax
(973) 744-2179
NPI assigned
Dec 18, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Fadi Ahmed El-Atat, M.D.NPI 1386776797
Title
Cardiologist
Phone
(973) 746-1585

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 Physician 207RC0000X 235356 NY
Cardiovascular Disease Physician 207RC0000X 25MA08676700 NJ Primary

Addresses

Primary practice location

127 Pine St Ste 1
Montclair, NJ 07042-4868

Mailing address

127 Pine St Ste 1
Montclair, NJ 07042-4868
Phone (973) 744-4075

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110111000881 NJ Part B Supplier - Clinic/Group Practice 0840489530 Receives reassigned benefits from 3 practitioners
Practice locations: Montclair, NJ; Union, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2208376Fa CV Consultants PC127 Pine Street Ste 1, Montclair, NJ 07042Certificate of waiverJan 5, 2027

National Provider Directory

National Provider Directory

Locations

1395 Clinton Ave
Irvington, NJ 07111
Phone (973) 399-1002

127 Pine St
Ste 1
Montclair, NJ 07042
Phone (973) 399-1002

1945 Morris Ave
Ste 8
Union, NJ 07083
Phone (908) 206-1844

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4b3fb786-b574-41dd-9f14-c2679485ee61/

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366771453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 PINE ST STE 1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424868",
            "telephone_number": "973-744-4075",
            "fax_number": "973-744-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 PINE ST STE 1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424868",
            "telephone_number": "973-744-4075",
            "fax_number": "973-744-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FA CV CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EL-ATAT",
        "authorized_official_first_name": "FADI",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "973-746-1585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "235356",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08676700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.