NPIMap

Organization Active NPI

Mulkay Cardiology Consultants at Holy Name Medical Center, PC

  • Cardiovascular Disease Physician
  • Hackensack, NJ
National Provider Identifier
1366878019
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MULKAY CARDIOLOGY CONSULTANTS AT HOLY NAME MEDICAL CENTER, PC
Practice address
493 Essex St
Hackensack, NJ 07601-1215
Phone
(201) 996-9244
NPI assigned
Sep 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Vasantha Kondamudi
Title
MD, Cmo, Evp
Phone
(201) 833-3599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

493 Essex St
Hackensack, NJ 07601-1215

Mailing address

3 University PLZ Ste 205
Hackensack, NJ 07601-6208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131203000750 NJ Part B Supplier - Clinic/Group Practice 9133355837 Receives reassigned benefits from 11 practitioners
Practice locations: Closter, NJ; Hackensack, NJ; Union City, NJ

National Provider Directory

National Provider Directory

Locations

44 Sylvan Ave
Ste 2A1
Englewd Clfs, NJ 07632

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1366878019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 UNIVERSITY PLZ STE 205",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 ESSEX ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011215",
            "telephone_number": "201-996-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULKAY CARDIOLOGY CONSULTANTS AT HOLY NAME MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "KONDAMUDI",
        "authorized_official_first_name": "VASANTHA",
        "authorized_official_title_or_position": "MD, CMO, EVP",
        "authorized_official_telephone_number": "201-833-3599"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.