Organization Active NPI

Change of Heart Cardiology, LLC

  • Interventional Cardiology Physician
  • Sea Girt, NJ
National Provider Identifier
1588852016
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MB66061 Issued in NJ
Legal business name
CHANGE OF HEART CARDIOLOGY, LLC
Practice address
2130 Highway 35
BLDG C Ste 321
Sea Girt, NJ 08750-1010
Phone
(732) 974-6700
Fax
(732) 974-6707
NPI assigned
Oct 10, 2007
Last updated
Dec 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Peter HynesNPI 1497953210
Title
Owner
Phone
(732) 974-6700

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
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X MB66061 NJ Primary

Addresses

Primary practice location

2130 Highway 35
BLDG C Ste 321
Sea Girt, NJ 08750-1010

Mailing address

2130 Highway 35 Ste 325C
Sea Girt, NJ 08750-1010
Phone (732) 774-2330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071018000141 NJ Part B Supplier - Clinic/Group Practice 1658467956 Receives reassigned benefits from 9 practitioners
Practice locations: Freehold, NJ; Lakewood, NJ; Sea Girt, NJ

National Provider Directory

National Provider Directory

Locations

901 W Main St
#106
Freehold, NJ 07728

1255 Route 70
Ste 215
Lakewood, NJ 08701
Phone (732) 367-2220

1255 Route 70
Ste 21S
Lakewood, NJ 08701
Phone (201) 367-2220

2130 Highway 35
Ste 312C
Sea Girt, NJ 08750

2130 Highway 35
Ste 321
Sea Girt, NJ 08750
Phone (732) 974-6700

2130 Highway 35
Ste 321C
Sea Girt, NJ 08750

2130 Highway 35
Ste 325
Sea Girt, NJ 08750

2130 Highway 35
Ste 325C
Sea Girt, NJ 08750

Interoperability endpoints

  • Direct secure messaging: kshah@chc.azalea.phimailbox.com
  • Direct secure messaging: phynes@chc.azalea.phimailbox.com
  • Direct secure messaging: rkayserjr@chc.azalea.phimailbox.com
  • Direct secure messaging: skelly@chc.azalea.phimailbox.com

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1588852016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35 STE 325C",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501010",
            "telephone_number": "732-774-2330",
            "fax_number": "732-774-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35",
            "address_2": "BLDG C STE 321",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501010",
            "telephone_number": "732-974-6700",
            "fax_number": "732-974-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE OF HEART CARDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "HYNES",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-974-6700"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "MB66061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Girt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.