Organization Active NPI

Easton Cardiovascular Assoc., PC

  • Cardiovascular Disease Physician
  • Phillipsburg, NJ
National Provider Identifier
1497964837
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
EASTON CARDIOVASCULAR ASSOC., PC
Practice address
123 Roseberry St
Phillipsburg, NJ 08865-1629
Phone
(908) 213-3100
Fax
(908) 213-3103
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Denise A Crivellaro
Title
Account Representative
Phone
(610) 258-4337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

123 Roseberry St
Phillipsburg, NJ 08865-1629

Mailing address

2001 Fairview Ave
Easton, PA 18042-3915
Phone (610) 258-4337

Other identifiers 2

IdentifierTypeStateIssuer
3501205MedicaidNJ
CF6140OtherNJPALMOTTO RR NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1497964837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 FAIRVIEW AVE",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423915",
            "telephone_number": "610-258-4337",
            "fax_number": "610-258-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 ROSEBERRY ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651629",
            "telephone_number": "908-213-3100",
            "fax_number": "908-213-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTON CARDIOVASCULAR ASSOC., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "CRIVELLARO",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ACCOUNT REPRESENTATIVE",
        "authorized_official_telephone_number": "610-258-4337"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3501205",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMOTTO RR NJ",
            "identifier": "CF6140",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.