Active NPI
NJ Cardiovascular Care LLC
- Interventional Cardiology Physician
- Edison, NJ
National Provider Identifier
1407274236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 25MA09450500
- Legal business name
- NJ CARDIOVASCULAR CARE LLC
- Practice address
- 102 James St
Suite 302
Edison, NJ 08820-3970 - Phone
- (718) 501-3907
- NPI assigned
- Mar 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anita Ravi, M.D.
- Title
- Sole Owner
- Phone
- (718) 501-3907
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA09450500 | NJ | |
| Cardiovascular Disease Physician | 207RC0000X | 25MA09450500 | NJ | |
| Interventional Cardiology Physician | 207RI0011X | 25MA09450500 | NJ | Primary |
Addresses
Primary practice location
102 James St
Suite 302
Edison, NJ 08820-3970
Mailing address
102 James St
Suite 302
Edison, NJ 08820-3970
Phone (718) 501-3907
Other names 1
- NJ CARDIOVASCULAR CARE LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396051200000",
"number": "1407274236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 JAMES ST",
"address_2": "SUITE 302",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203970",
"telephone_number": "718-501-3907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 JAMES ST",
"address_2": "SUITE 302",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203970",
"telephone_number": "718-501-3907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NJ CARDIOVASCULAR CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-29",
"last_updated": "2014-03-29",
"status": "A",
"authorized_official_last_name": "RAVI",
"authorized_official_first_name": "ANITA",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "718-501-3907",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA09450500",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA09450500",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NJ",
"license": "25MA09450500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NJ CARDIOVASCULAR CARE LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.