Coastal Cardiovascular Consultants, PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

COASTAL CARDIOVASCULAR CONSULTANTS, PA

Practice address

459 Jack Martin Blvd Ste 2
Brick, NJ 08724-7724

Phone

(732) 458-6200

Fax

(732) 458-9464

NPI assigned

Jan 19, 2006

Last updated

May 1, 2023By 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

Pedro J Escandon, M.D.NPI 1215917737

Title

President

Phone

(732) 458-6200

Specialties & licenses 1

Addresses

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24659/brand/1/csg/1/fhir/r4

Practitioners 11

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.

• Pedro J Escandon, M.D.

  • Interventional Cardiology Physician
  • Brick, NJ
  • NPI 1215917737

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD Authorized official
• Harshil Patel, M.D.

  • Cardiovascular Disease Physician
  • Brick, NJ
  • NPI 1275977555
  Medicare reassignment Care Compare group NPD
• Virendra Patel, M.D.

  • Cardiovascular Disease Physician
  • Brick, NJ
  • NPI 1508807082
  Medicare reassignment Care Compare group NPD
• Ahmad Salloum, M.D.

  • Cardiovascular Disease Physician
  • Brick, NJ
  • NPI 1205816717
  Medicare reassignment Care Compare group NPD
• John Shenouda, M.D.

  • Interventional Cardiology Physician
  • Brick, NJ
  • NPI 1952660532

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Dayna Soluri, MSN, RN, AGACNP-BC

  • Nurse Practitioner
  • Brick, NJ
  • NPI 1881062008
  Medicare reassignment Care Compare group NPD
• Hojun Yoo, M.D.

  • Interventional Cardiology Physician
  • Brick, NJ
  • NPI 1528048055

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• James Aloysius Clarke, MD

  • Family Medicine Physician
  • Brick, NJ
  • NPI 1689665358
  NPD (past)
• Allan Pontipiedra, A.P.N., C.

  • Family Nurse Practitioner
  • Toms River, NJ
  • NPI 1548400195
  NPD (past)
• Heather Reenstra, APN-C

  • Adult Health Nurse Practitioner
  • Toms River, NJ
  • NPI 1548265358
  NPD (past)
• Diana Reid, APN.C

  • Nurse Practitioner
  • Toms River, NJ
  • NPI 1114907672
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1669452199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 JACK MARTIN BLVD STE 2",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247724",
            "telephone_number": "732-458-6200",
            "fax_number": "732-458-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 JACK MARTIN BLVD STE 2",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247724",
            "telephone_number": "732-458-6200",
            "fax_number": "732-458-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARDIOVASCULAR CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "ESCANDON",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-458-6200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Clifford, LSW
• Lucas Robert Cloppse, MD
• Scott R Cluley, MD
• Coast Physio LLC
• Coastal Back and Pain Institute
• Coastal Counseling Center of Brick, LLC.
• Coastal Counseling Group
• Coastal Dermatology LLC
• Coastal Gastroenterology Associates, P.a.
• Coastal Urology Associates PA

• Cardiovascular Disease Physician in Brick, NJ
• Providers in Brick, 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 May 1, 2023; 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.