Organization Active NPI

Northern NJ Cardiology Assoc

  • Cardiovascular Disease Physician
  • North Bergen, NJ
National Provider Identifier
1548274384
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NORTHERN NJ CARDIOLOGY ASSOC
Practice address
1 Marine PLZ Ste 100
North Bergen, NJ 07047-6234
Phone
(201) 869-1313
Fax
(201) 854-7945
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Nancy Boden
Title
Office Manager
Phone
(201) 869-1313

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 25MA03815600 NJ

Addresses

Primary practice location

1 Marine PLZ Ste 100
North Bergen, NJ 07047-6234

Mailing address

7704 Marine Rd
North Bergen, NJ 07047
Phone (201) 869-1313

National Provider Directory

National Provider Directory

Locations

1 Marine Plz
Ste 100
North Bergen, NJ 07047
Phone (201) 868-9040

7704 Marine Rd
North Bergen, NJ 07047
Phone (201) 869-1313

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548274384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7704 MARINE RD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "07047",
            "telephone_number": "201-869-1313",
            "fax_number": "201-854-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MARINE PLZ STE 100",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476234",
            "telephone_number": "201-869-1313",
            "fax_number": "201-854-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NJ CARDIOLOGY ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BODEN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-869-1313"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA03815600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.