MGH Cardiovascular Associates LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MGH CARDIOVASCULAR ASSOCIATES LLC

Practice address

680 Broadway Ste 503
Paterson, NJ 07514-1530

Phone

(973) 653-5867

NPI assigned

Dec 17, 2020

Organization subpart

Yes

Parent organization

MGH CARDIOVASCULAR ASSOCIATES LLCAs reported in NPPES

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

Authorized official

Name

Mirette Habib, MDNPI 1700121365

Title

Owner

Phone

(973) 653-5867

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Part of

MGH Cardiovascular Associates LLC

Practitioners 1

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

• Mirette Habib, MD

  • Interventional Cardiology Physician
  • Newark, NJ
  • NPI 1700121365
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1669068128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 BROADWAY STE 503",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141530",
            "telephone_number": "973-653-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BROADWAY STE 503",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141530",
            "telephone_number": "973-653-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGH CARDIOVASCULAR ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MGH CARDIOVASCULAR ASSOCIATES LLC",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "HABIB",
        "authorized_official_first_name": "MIRETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-653-5867",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Patrick Michael, M.D.

• Medical Specialty Clinic/Center in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.