Organization Active NPI

NJ Heart & Vascular Care PC

  • Interventional Cardiology Physician
  • Princeton, NJ
National Provider Identifier
1467052993
Registry record updated Feb 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
NJ HEART & VASCULAR CARE PC
Practice address
10 Forrestal Rd S Ste 207
Princeton, NJ 08540-6666
Phone
(609) 759-9660
Fax
(609) 759-9661
NPI assigned
Oct 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2023

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

Authorized official

Name
Gobinath Periyanna
Title
Billing Manager
Phone
(203) 675-4327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

10 Forrestal Rd S Ste 207
Princeton, NJ 08540-6666

Mailing address

295 Princeton Hightstown Rd Unit 11-312
West Windsor, NJ 08550-3123
Phone (609) 759-9660

Other practice location 1

2111 Klockner Rd
Hamilton Square, NJ 08690-3403
Phone (609) 759-9660

National Provider Directory

National Provider Directory

Locations

295 Princeton Hightstown Rd
Unit 11312
West Windsor, NJ 08550

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677283200000",
    "number": "1467052993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 PRINCETON HIGHTSTOWN RD UNIT 11-312",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085503123",
            "telephone_number": "609-759-9660",
            "fax_number": "609-759-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FORRESTAL RD S STE 207",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406666",
            "telephone_number": "609-759-9660",
            "fax_number": "609-759-9661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 Klockner Rd",
            "address_purpose": "LOCATION",
            "city": "Hamilton Square",
            "state": "NJ",
            "postal_code": "086903403",
            "country_code": "US",
            "telephone_number": "609-759-9660",
            "fax_number": "609-759-9661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NJ HEART & VASCULAR CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2023-02-25",
        "certification_date": "2023-02-25",
        "status": "A",
        "authorized_official_last_name": "PERIYANNA",
        "authorized_official_first_name": "GOBINATH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "203-675-4327"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2023; 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.