Organization Active NPI

Cardiovascular Group LLC

  • Cardiovascular Disease Physician
  • Glen Mills, PA
National Provider Identifier
1427362870
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR GROUP LLC
Practice address
145 S Brinton Lake Rd
Glen Mills, PA 19342-2281
Phone
(610) 521-0150
Fax
(610) 521-6493
NPI assigned
Jul 27, 2010
Organization subpart
Yes
Parent organization
CARDIOVASCULAR GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Dr. Samuel R Ruby, MD
Title
Senior Partner
Phone
(610) 521-0150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

145 S Brinton Lake Rd
Glen Mills, PA 19342-2281

Mailing address

1 Bartol Ave
Ste 10
Ridley Park, PA 19078-2214
Phone (610) 521-0150

National Provider Directory

National Provider Directory
Tax ID family
Cardiovascular Group LLC2 organizations share this tax ID, including this one
Part of
Cardiovascular Group LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1427362870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BARTOL AVE",
            "address_2": "STE 10",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782214",
            "telephone_number": "610-521-0150",
            "fax_number": "610-521-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S BRINTON LAKE RD",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193422281",
            "telephone_number": "610-521-0150",
            "fax_number": "610-521-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARDIOVASCULAR GROUP LLC",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "RUBY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "610-521-0150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.