Cardiology and Vascular Consultants of New Jersey

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA08008500 Issued in NJ

Legal business name

CARDIOLOGY AND VASCULAR CONSULTANTS OF NEW JERSEY

Practice address

2168 Millburn Ave
Suite 204
Maplewood, NJ 07040-2640

Phone

(973) 762-3353

Fax

(973) 762-3370

NPI assigned

Mar 11, 2010

Last updated

Apr 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Khalil A Kaid, M.DNPI 1285651109

Title

Owner

Phone

(347) 581-0834

Specialties & licenses 1

Addresses

Other identifiers 2

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 7

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.

• Khalil Ahmed Kaid

  • Cardiovascular Disease Physician
  • Maplewood, NJ
  • NPI 1285651109
  Authorized official Same address or phone
• John Boulos, DPM

  • Foot & Ankle Surgery Podiatrist
  • East Brunswick, NJ
  • NPI 1790029072
  NPD (past)
• Sonya L Goodrich, NP

  • Adult Health Nurse Practitioner
  • Irvington, NJ
  • NPI 1053528356
  NPD (past)
• Doney B Jain, M.D.

  • Internal Medicine Physician
  • Jersey City, NJ
  • NPI 1720484777
  NPD (past)
• Sucheta M Nasta, M. D.

  • Family Medicine Physician
  • East Orange, NJ
  • NPI 1760589337
  NPD (past)
• Colin A, Pemberton, M.D.

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1891935557
  NPD (past)
• Mona Lisa Abankwa, APN

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1902184138
  NPD (past)

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1629391180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2168 MILLBURN AVE",
            "address_2": "SUITE 204",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402640",
            "telephone_number": "800-243-5854",
            "fax_number": "206-824-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2168 MILLBURN AVE",
            "address_2": "SUITE 204",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402640",
            "telephone_number": "973-762-3353",
            "fax_number": "973-762-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY AND VASCULAR CONSULTANTS OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "KAID",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-581-0834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08008500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0249327",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DQ5886",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calloway Speech Language Services, LLC
• Calvary Medical Associates LLC (Valley Spring Eyecare Center)
• Erica N Campbell
• Lorraine Caputo, LCSW
• Dana Lauren Carbone, LMFT
• Marijo Brillantes Carino, RPT
• Carl G. Quillen, M.D. P.a.
• Vanessa A Carney, ATC, MAT
• William Edgar Carr, LCSW
• Angelo Cece, D.M.D.

• Cardiovascular Disease Physician in Maplewood, NJ
• Providers in Maplewood, 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 Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.