The Heart Center of the Oranges

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

25MA07089400 Issued in NJ

Legal business name

THE HEART CENTER OF THE ORANGES

Doing business as

The Heart Center of the Oranges- South Orange

Practice address

60 Vose Ave
South Orange, NJ 07079-2026

Phone

(973) 763-5200

NPI assigned

Sep 12, 2013

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• The Heart Center of the Oranges- South Orange Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

The Heart Center of the Oranges5 organizations share this tax ID, including this one

Part of

Tri - State Medical Group Inc

Other organizations with this tax ID 4

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

• The Heart Center of the Oranges

  dba The Heart Center of the Oranges- East Orange

  • Non-Pharmacy Dispensing Site
  • East Orange, NJ
  • NPI 1194151340
  NPD tax ID
• The Heart Center of the Oranges

  dba The Heart Center of the Oranges- Old North

  • Non-Pharmacy Dispensing Site
  • West Orange, NJ
  • NPI 1437584174
  NPD tax ID
• The Heart Center of the Oranges

  dba The Heart Center of the Oranges- West Orange

  • Non-Pharmacy Dispensing Site
  • West Orange, NJ
  • NPI 1568898716
  NPD tax ID
• The Heart Center of the Oranges

  dba The Heart Center of the Oranges- Maplewood

  • Non-Pharmacy Dispensing Site
  • Maplewood, NJ
  • NPI 1982039624
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gitendra Rajiyah, MD

  • Cardiovascular Disease Physician
  • East Orange, NJ
  • NPI 1083693196
  NPD (past)

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1447685185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 VOSE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792026",
            "telephone_number": "973-763-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEART CENTER OF THE ORANGES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NJ",
            "license": "25MA07089400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Heart Center of the Oranges- South Orange",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Petrucci E. Taliaferro, MSW, LCSW
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• Judy Marcel Thomas, NP-C
• Michael Todaro
• Total Endodontics of South Orange

• Non-Pharmacy Dispensing Site in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Non-Pharmacy Dispensing Site in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.