NPIMap

Organization Active NPI

GHCP Ekg Interpretation Panel, LLC

  • Specialist
  • Passaic, NJ
National Provider Identifier
1669697009
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GHCP EKG INTERPRETATION PANEL, LLC
Practice address
350 Boulevard
St. Mary's Hospital
Passaic, NJ 07055-2840
Phone
(201) 444-5945
Fax
(201) 444-5947
NPI assigned
Apr 13, 2007
Last updated
Mar 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Dr. Daniel Patrick Conroy, MDNPI 1629098603
Title
Managing Partner
Phone
(201) 444-5945

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

350 Boulevard
St. Mary's Hospital
Passaic, NJ 07055-2840

Mailing address

PO Box 450
Ridgewood, NJ 07451-0450
Phone (201) 444-5945

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050224000708 NJ Part B Supplier - Clinic/Group Practice 1153374673 Receives reassigned benefits from 8 practitioners
Practice locations: Passaic, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1669697009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074510450",
            "telephone_number": "201-444-5945",
            "fax_number": "201-444-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOULEVARD",
            "address_2": "ST. MARY'S HOSPITAL",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552840",
            "telephone_number": "201-444-5945",
            "fax_number": "201-444-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHCP EKG INTERPRETATION PANEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "201-444-5945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.