NPIMap

Organization Active NPI

Shore Cardiology Consultants LLC

  • Cardiovascular Disease Physician
  • Brick, NJ
National Provider Identifier
1649327602
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SHORE CARDIOLOGY CONSULTANTS LLC
Practice address
1640 Route 88
Suite 201
Brick, NJ 08724-3036
Phone
(732) 840-1900
Fax
(732) 840-0355
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Ali R Moosvi, M.D.NPI 1093796948
Title
Physician Owner
Phone
(732) 840-1900

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 Primary

Addresses

Primary practice location

1640 Route 88
Suite 201
Brick, NJ 08724-3036

Mailing address

1640 Route 88
Suite 201
Brick, NJ 08724-3036
Phone (732) 840-1900

Other identifiers 1

IdentifierTypeStateIssuer
7041705MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040927000064 NJ Part B Supplier - Clinic/Group Practice 0547239717 Receives reassigned benefits from 8 practitioners
Practice locations: Brick, NJ

National Provider Directory

National Provider Directory

Locations

3200 Sunset Ave
Ste 100
Ocean, NJ 07712
Phone (732) 682-3425

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJEBAA

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1649327602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 ROUTE 88",
            "address_2": "SUITE 201",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243036",
            "telephone_number": "732-840-1900",
            "fax_number": "732-840-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 ROUTE 88",
            "address_2": "SUITE 201",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243036",
            "telephone_number": "732-840-1900",
            "fax_number": "732-840-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE CARDIOLOGY CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "MOOSVI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "732-840-1900",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7041705",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.