Mycardiovascular Clinic LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MYCARDIOVASCULAR CLINIC LLC

Practice address

337 Bloomfield Ave
Newark, NJ 07107-2405

Phone

(973) 370-5259

Fax

(610) 638-0771

NPI assigned

Sep 5, 2025

Organization subpart

No

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

Authorized official

Name

Sankalp Pathak, MDNPI 1316388234

Title

Managing Member

Phone

(973) 370-5259

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Sankalp Pathak, MD

  • Interventional Cardiology Physician
  • Newark, NJ
  • NPI 1316388234

  Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1568342913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 US HIGHWAY 202 N # 5135",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763757",
            "telephone_number": "973-370-5259",
            "fax_number": "610-638-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 BLOOMFIELD AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072405",
            "telephone_number": "973-370-5259",
            "fax_number": "610-638-0771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Elmora Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072021625",
            "country_code": "US",
            "telephone_number": "973-370-5259",
            "fax_number": "610-638-0771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67 High St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "NJ",
            "postal_code": "078601771",
            "country_code": "US",
            "telephone_number": "973-370-5259",
            "fax_number": "610-638-0771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "657 Willow Grove St Ste 404",
            "address_purpose": "LOCATION",
            "city": "Hackettstown",
            "state": "NJ",
            "postal_code": "078401868",
            "country_code": "US",
            "telephone_number": "973-370-5259",
            "fax_number": "610-638-0771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "523 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070023735",
            "country_code": "US",
            "telephone_number": "973-372-5259",
            "fax_number": "610-638-0771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "199 NJ-284",
            "address_purpose": "LOCATION",
            "city": "Sussex",
            "state": "NJ",
            "postal_code": "074613417",
            "country_code": "US",
            "telephone_number": "973-370-5259",
            "fax_number": "610-638-0771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MYCARDIOVASCULAR CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "PATHAK",
        "authorized_official_first_name": "SANKALP",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "973-370-5259",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.