NPIMap

Organization Active NPI

Riverview Cardiac Diagnostic Associates P.a.

  • Cardiovascular Disease Physician
  • Red Bank, NJ
National Provider Identifier
1396880472
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA34768 Issued in NJ
Legal business name
RIVERVIEW CARDIAC DIAGNOSTIC ASSOCIATES P.A.
Practice address
1 Riverview PLZ
Red Bank, NJ 07701-1864
Phone
(732) 530-1203
Fax
(732) 530-1204
NPI assigned
Feb 20, 2007
Last updated
Dec 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Dr. David Drout, MD
Title
Secretary-Treasurer
Phone
(732) 530-1203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA34768 NJ Primary

Addresses

Primary practice location

1 Riverview PLZ
Red Bank, NJ 07701-1864

Mailing address

PO Box 8785
Red Bank, NJ 07701-8785
Phone (732) 530-1203

Other identifiers 1

IdentifierTypeStateIssuer
3211002MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1396880472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8785",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077018785",
            "telephone_number": "732-530-1203",
            "fax_number": "732-530-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVERVIEW PLZ",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011864",
            "telephone_number": "732-530-1203",
            "fax_number": "732-530-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW CARDIAC DIAGNOSTIC ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "DROUT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SECRETARY-TREASURER",
        "authorized_official_telephone_number": "732-530-1203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA34768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3211002",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.