Change of Heart Cardiology, LLC
Organization Active NPI Interventional Cardiology Physician · Sea Girt, NJ
NPI 1588852016 · NPPES record last updated Dec 15, 2025
Key facts
- NPI
- 1588852016
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- MB66061 (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
- Organization subpart
- No
Authorized official
- Name
- Peter Hynes
- Title
- Owner
- Phone
- (732) 974-6700
Practitioners 12
-
Peter James Hynes, M.D.
-
Robert Granville Kayser Jr., MD, MBA
-
Laura Marie Dellorusso, APN, C
-
Patricia Lee Wesch, APN
-
Jennifer Sanfilippo, APRN
-
William R Dilorenzo, D.O.
-
Ann L. Maroulis, MSN NP
-
Amy S Quinlan, DNP, APN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
901 W Main St
Bldg B
Freehold, NJ 07728
Phone (732) 303-1616
1151 W Main St
Freehold, NJ 07728
Phone (732) 202-1000
1255 Route 70
Ste 215
Lakewood, NJ 08701
Phone (732) 367-2220
2130 Highway 35
Ste 321
Sea Girt, NJ 08750
Phone (732) 974-6700
2130 Highway 35
Ste 325C
Sea Girt, NJ 08750
2130 Highway 35
Ste 325
Sea Girt, NJ 08750
2130 Highway 35
Ste 312C
Sea Girt, NJ 08750
2130 Highway 35
Ste 321C
Sea Girt, NJ 08750
Interoperability endpoints
- rkayserjr@chc.azalea.phimailbox.com
- phynes@chc.azalea.phimailbox.com
- kshah@chc.azalea.phimailbox.com
- skelly@chc.azalea.phimailbox.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician |
207RI0011X | MB66061 | NJ | Yes |
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
Other providers in Sea Girt, NJ
- Neila Buday
- Patrick M Buddle
- Yuemei Cai
- Elisabeth Card
- Carebridge Home Care, LLC
- Barbara Michelle Chas
- Ya-Lung Chen
- Child Assessment and Psychological Services of New Jersey, LLC
- Kirk Chow
- Jennifer Christopher
All providers in Sea Girt, NJ · Interventional Cardiology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.