Organization Active NPI

Hamilton Heart & Vascular Care LLC

  • Interventional Cardiology Physician
  • Hamilton, NJ
National Provider Identifier
1386119014
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
HAMILTON HEART & VASCULAR CARE LLC
Practice address
3379 Quakerbridge Rd Ste 200
Hamilton, NJ 08619-1269
Phone
(215) 747-4511
Fax
(215) 476-1427
NPI assigned
Oct 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Authorized official

Name
Haytham Albizem, MDNPI 1467442285
Title
Owner
Phone
(215) 747-4511

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

3379 Quakerbridge Rd Ste 200
Hamilton, NJ 08619-1269

Mailing address

3379 Quakerbridge Rd Ste 200
Hamilton, NJ 08619-1269
Phone (215) 747-4511

Other names 1

  • HAMILTON HEART & VASCULAR CARE LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190122000085 NJ Part B Supplier - Clinic/Group Practice 4587901137 Receives reassigned benefits from 4 practitioners
Practice locations: Hamilton, NJ

National Provider Directory

National Provider Directory

Locations

3379 Mercerville Quakerbridge Rd
#2
Trenton, NJ 08619

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1386119014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 QUAKERBRIDGE RD STE 200",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191269",
            "telephone_number": "215-747-4511",
            "fax_number": "215-476-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3379 QUAKERBRIDGE RD STE 200",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191269",
            "telephone_number": "215-747-4511",
            "fax_number": "215-476-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON HEART & VASCULAR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "ALBIZEM",
        "authorized_official_first_name": "HAYTHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-747-4511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAMILTON HEART & VASCULAR CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.