NPIMap

Individual provider Active NPI

Ravi Diwan, MD

  • Cardiovascular Disease Physician
  • Neptune, NJ
National Provider Identifier
1376792382
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA09273100 Issued in NJ
Practice address
1820 State Route 33
Suite 4B
Neptune, NJ 07753-4860
Phone
(732) 776-8500
Fax
(732) 776-8946
NPI assigned
Sep 15, 2008
Last updated
Jun 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 255642 NY
Cardiovascular Disease Physician 207RC0000X 25MA09273100 NJ Primary

Addresses

Primary practice location

1820 State Route 33
Suite 4B
Neptune, NJ 07753-4860

Mailing address

1820 State Route 33
Suite 4B
Neptune, NJ 07753-4860
Phone (732) 776-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130905000598 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0749423002 Reassigns benefits to 1 organization
I20131125000420 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0749423002 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Associates of the Delaware Valley,P aGroup PAC ID 9032001284, 94 clinicians
Meridian Cardiovascular Interpretive Services PCGroup PAC ID 8527012236, 60 clinicians
Shore Heart Group, PAGroup PAC ID 1557268448, 36 clinicians

Practice addresses (Care Compare)

1 Hwy 35
Keyport, NJ 07735-1166
Phone (732) 360-6333

1 Riverview PLZ
Red Bank, NJ 07701-1864
Phone (732) 530-2528

1 State Route 35
Keyport, NJ 07735-1166
Phone (732) 360-6333

115 E Bay Ave
Manahawkin, NJ 08050-3109
Phone (609) 971-3300

1820 State Route 33
Suite 4B
Neptune, NJ 07753-4860
Phone (732) 776-8500

21 N Gilbert St
Tinton Falls, NJ 07701-4950
Phone (732) 542-7600

210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Phone (856) 546-3003

35 Beaverson Blvd
Suite 9B
Brick, NJ 08723-7862
Phone (732) 262-4262

9 Mule Rd
Toms River, NJ 08755-5052
Phone (732) 281-1101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.51 of 100Reported as group
Promoting interoperability
82
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Heart Group, PA Cardiovascular Disease CurrentSince Jul 1, 2015 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jun 6, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jun 6, 2022 Accepting new patients
Cardiovascular Associates of the Delaware Valley,P a Cardiovascular Disease CurrentSince Jun 1, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease CurrentSince Nov 1, 2013 Accepting new patients
Meridian Cardiovascular Interpretive Services PC Cardiovascular Disease CurrentSince Jan 18, 2023 Accepting new patients
Sovereign Medical Group LLC CurrentSince Aug 31, 2013 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 1, 2013 Accepting new patients
Sovereign Medical Group, LLC CurrentSince Aug 31, 2013 Accepting new patients

Locations

35 Beaverson Blvd
Ste 8C
Brick, NJ 08723
Phone (732) 262-4262

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

120 White Horse Pike
Ste 112
Haddon Hgts, NJ 08035
Phone 85654705392215

210 W Atlantic Ave
Haddon Hts, NJ 08035
Phone (856) 546-3003

1 State Route 35
Keyport, NJ 07735
Phone (732) 360-6333

1 State Route 35
Ste 2
Keyport, NJ 07735
Phone (732) 335-3937

1820 State Route 33
Ste 4B
Neptune, NJ 07753
Phone (732) 776-8500

680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

21 N Gilbert St
Tinton Falls, NJ 07701
Phone (732) 741-1902

9 Mule Rd
Ste E1
Toms River, NJ 08755
Phone (732) 281-1101

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

139 Centre St
Ste 307
New York, NY 10013
Phone (347) 480-5287

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71422
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: ravi.diwan@shoreheartgroup.directbygreenway.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1376792382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 STATE ROUTE 33",
            "address_2": "SUITE 4B",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534860",
            "telephone_number": "732-776-8500",
            "fax_number": "732-776-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 STATE ROUTE 33",
            "address_2": "SUITE 4B",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534860",
            "telephone_number": "732-776-8500",
            "fax_number": "732-776-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIWAN",
        "first_name": "RAVI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "255642",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA09273100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.