NPIMap

Ravi Diwan, MD

Individual provider Active NPI Cardiovascular Disease Physician · Neptune, NJ

NPI 1376792382 · NPPES record last updated Jun 17, 2015

Key facts

NPI
1376792382
Entity type
Individual (NPI type 1)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
License
25MA09273100 (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
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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

Medicare Care Compare profile

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 a (94 clinicians)
Meridian Cardiovascular Interpretive Services PC (60 clinicians)
Shore Heart Group, PA (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

  • Riverview Medical Center Hospital · Red Bank, NJ · CCN 310034
  • Bayshore Medical Center Hospital · Holmdel, NJ · CCN 310112
  • Jersey Shore University Medical Center Hospital · Neptune, NJ · CCN 310073
  • Centrastate Medical Center Hospital · Freehold, NJ · CCN 310111

Merit-based Incentive Payment System (MIPS)

Final score
86.51 of 100 (group)
Promoting interoperability
82
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting50

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NY, NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
255642NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC Current
since Jun 6, 2022		 Accepting new patients
Sovereign Medical Group, LLC Current
since Aug 31, 2013		 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Current
since Jun 6, 2022		 Accepting new patients
Shore Heart Group, PA Cardiovascular Disease Current
since Jul 1, 2015		 Accepting new patients
Sovereign Medical Group LLC Current
since Aug 31, 2013		 Accepting new patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease Current
since Nov 1, 2013		 Accepting new patients
Meridian Cardiovascular Interpretive Services PC Cardiovascular Disease Current
since Jan 18, 2023		 Accepting new patients
Icahn School of Medicine at Mount Sinai Current
since Nov 1, 2013		 Accepting new patients
Cardiovascular Associates of the Delaware Valley,P a Cardiovascular Disease Current
since Jun 1, 2025		 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) 264-2500

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

  • Direct secure messaging: ravi.diwan@shoreheartgroup.directbygreenway.com
  • 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

Specialties & licenses

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

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

Other identifiers

IdentifierTypeStateIssuer
03643116MedicaidNY

Other providers in Neptune, NJ

All providers in Neptune, NJ · Cardiovascular Disease Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.