NPIMap

Organization Active NPI

Cedarbrook Cardiology LLC

  • Specialist
  • South Plainfield, NJ
National Provider Identifier
1447200431
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA43667 Issued in NJ
Legal business name
CEDARBROOK CARDIOLOGY LLC
Practice address
902 Oak Tree Ave
Suite 400
South Plainfield, NJ 07080-5136
Phone
(908) 756-1703
Fax
(908) 756-1793
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Authorized official

Name
Dr. Younus A. Rakla, MDNPI 1104876499
Title
Owner
Phone
(908) 756-1703

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA43667 NJ Primary

Addresses

Primary practice location

902 Oak Tree Ave
Suite 400
South Plainfield, NJ 07080-5136

Mailing address

902 Oak Tree Ave
Suite 400
South Plainfield, NJ 07080-5136
Phone (908) 756-1703

Other identifiers 1

IdentifierTypeStateIssuer
6678408MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050201000685 NJ Part B Supplier - Clinic/Group Practice 1052362688 Receives reassigned benefits from 4 practitioners
Practice locations: South Plainfield, NJ

National Provider Directory

National Provider Directory

Locations

902 Oak Tree Ave
Ste 400
South Plainfield, NJ 07080
Phone (908) 756-0040

902 Oak Tree Ave
South Plainfield, NJ 07080

Practitioners & affiliated clinicians

Practitioners 7

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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1447200431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 OAK TREE AVE",
            "address_2": "SUITE 400",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805136",
            "telephone_number": "908-756-1703",
            "fax_number": "908-756-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 OAK TREE AVE",
            "address_2": "SUITE 400",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805136",
            "telephone_number": "908-756-1703",
            "fax_number": "908-756-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARBROOK CARDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "RAKLA",
        "authorized_official_first_name": "YOUNUS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-756-1703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA43667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6678408",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.