Jersey Heart Center, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA057458 Issued in NJ

Legal business name

JERSEY HEART CENTER, LLC

Practice address

616 Amboy Ave
Woodbridge, NJ 07095-3164

Phone

(732) 636-6262

Fax

(732) 636-8313

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mahmood AlamNPI 1679593875

Title

Medical Director

Phone

(732) 636-6262

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Mahmood Alam, MD

  • Interventional Cardiology Physician
  • Woodbridge, NJ
  • NPI 1679593875

  Specialist

  Medicare reassignment Care Compare group NPD Authorized official
• Khalil M Suaray, M.D.

  • Cardiovascular Disease Physician
  • Middletown, NJ
  • NPI 1578567160
  Medicare reassignment Care Compare group NPD
• Yasmin Masood, M.D.

  • Cardiovascular Disease Physician
  • Edison, NJ
  • NPI 1821122722
  Medicare reassignment NPD
• Shagufta Yasmin, MS, R.D.

  • Registered Dietitian
  • Old Bridge, NJ
  • NPI 1972832251
  Medicare reassignment NPD

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1609892090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 AMBOY AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953164",
            "telephone_number": "732-636-6262",
            "fax_number": "732-636-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 AMBOY AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953164",
            "telephone_number": "732-636-6262",
            "fax_number": "732-636-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY HEART CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "ALAM",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-636-6262",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA057458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8648808",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inspiring Choices, LLC
• Integrity Health of NJ, PC
• Martin Jablow, DMD
• Sandhya Jagamony, M.D
• David Jeraiseh, LMFT
• Jersey Medical and Rehabilitation Group PA.
• Joanna Paradiso LLC
• John M Pogoda DMD and Stephen D Yaremczak DMD PA
• Stephanie Shante Johnson
• Joseph Silverman DMD LLC

• Specialist in Woodbridge, NJ
• Providers in Woodbridge, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.