Organization Active NPI

Electrophysiology Associates of Northern New Jersey PA PC

  • Cardiovascular Disease Physician
  • Hackensack, NJ
National Provider Identifier
1619000262
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA05047300 Issued in NJ
Legal business name
ELECTROPHYSIOLOGY ASSOCIATES OF NORTHERN NEW JERSEY PA PC
Practice address
20 Prospect Ave
Suite 701
Hackensack, NJ 07601-1997
Phone
(201) 996-2997
Fax
(201) 996-2571
NPI assigned
Mar 13, 2007
Last updated
Jul 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
John M Zimmerman, M.D.NPI 1528036217
Title
Delegated Official
Phone
(201) 996-2997

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 25MA05047300 NJ Primary

Addresses

Primary practice location

20 Prospect Ave
Suite 701
Hackensack, NJ 07601-1997

Mailing address

20 Prospect Ave
Suite 701
Hackensack, NJ 07601-1997
Phone (201) 996-2997

Other identifiers 3

IdentifierTypeStateIssuer
3108580OtherNJAETNA HMO GROUP #
5792488OtherNJAETNA PPO GROUP #
CJ2835OtherNJRAILROAD MEDICARE GROUP #

National Provider Directory

National Provider Directory

Locations

20 Prospect Ave
Ste 701
Hackensack, NJ 07601
Phone (201) 996-2997

Practitioners & affiliated clinicians

Practitioners 1

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1619000262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "SUITE 701",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "201-996-2997",
            "fax_number": "201-996-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "SUITE 701",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "201-996-2997",
            "fax_number": "201-996-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTROPHYSIOLOGY ASSOCIATES OF NORTHERN NEW JERSEY PA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "201-996-2997",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA05047300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO GROUP #",
            "identifier": "3108580",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO GROUP #",
            "identifier": "5792488",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "CJ2835",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.