Organization Active NPI

Cardiovascular Group NJ LLC

  • Cardiovascular Disease Physician
  • Bridgeton, NJ
National Provider Identifier
1427362888
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 NJ LLC
Practice address
230 Laurel Heights Dr
Bridgeton, NJ 08302-3634
Phone
(610) 521-0150
Fax
(610) 521-6493
NPI assigned
Jul 27, 2010
Last updated
Jul 27, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
CARDIOVASCULAR GROUP NJ 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
Samuel Ruby, MDNPI 1184626517
Title
Senior Partner
Phone
(610) 521-0150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

230 Laurel Heights Dr
Bridgeton, NJ 08302-3634

Mailing address

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

National Provider Directory

National Provider Directory
Part of
Cardiovascular Group-NJ LLC

Locations

230 Laurel Heights Dr
Bridgeton, NJ 08302
Phone (610) 521-0150

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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1427362888",
    "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": "230 LAUREL HEIGHTS DR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023634",
            "telephone_number": "610-521-0150",
            "fax_number": "610-521-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR GROUP NJ LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARDIOVASCULAR GROUP NJ 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_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "610-521-0150",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, NJ

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.