Organization Active NPI

Consultative Cardiology LLC

  • Cardiovascular Disease Physician
  • Whitehouse Station, NJ
National Provider Identifier
1447765102
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA04229300 Issued in NJ
Legal business name
CONSULTATIVE CARDIOLOGY LLC
Practice address
115 Van Cleef
Whitehouse Station, NJ 08889-3746
Phone
(908) 400-9805
Fax
(908) 725-7479
NPI assigned
Dec 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Authorized official

Name
Mr. Stephen Marc Ocken, MDNPI 1598765844
Title
Owner
Phone
(908) 400-9805

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 25MA04229300 NJ Primary

Addresses

Primary practice location

115 Van Cleef
Whitehouse Station, NJ 08889-3746

Mailing address

115 Van Cleef Dr
Whitehouse Station, NJ 08889-3746
Phone (908) 400-9805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180123000344 NJ Part B Supplier - Clinic/Group Practice 5991064867 Receives reassigned benefits from 1 practitioner
Practice locations: Whitehouse Station, NJ

National Provider Directory

National Provider Directory

Locations

380 Demott Ln
Somerset, NJ 08873
Phone (732) 873-2000

Practitioners & affiliated clinicians

Practitioners 1

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": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1447765102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 VAN CLEEF DR",
            "city": "WHITEHOUSE STATION",
            "state": "NJ",
            "postal_code": "088893746",
            "telephone_number": "908-400-9805",
            "fax_number": "908-725-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 VAN CLEEF",
            "city": "WHITEHOUSE STATION",
            "state": "NJ",
            "postal_code": "088893746",
            "telephone_number": "908-400-9805",
            "fax_number": "908-725-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTATIVE CARDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "OCKEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-400-9805",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA04229300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehouse Station, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.