NPIMap

Organization Active NPI

Atlantic Heart Specialists, LLC

  • Cardiovascular Disease Physician
  • Freehold, NJ
National Provider Identifier
1669766143
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ATLANTIC HEART SPECIALISTS, LLC
Practice address
555 Iron Bridge Rd
Suite 12
Freehold, NJ 07728-2975
Phone
(732) 409-5353
NPI assigned
Jun 2, 2011
Last updated
Jan 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Mr. Sanjiv Girish Faldu
Title
Sole Member
Phone
(732) 618-7424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

555 Iron Bridge Rd
Suite 12
Freehold, NJ 07728-2975

Mailing address

PO Box 5457
Old Bridge, NJ 08857-5457
Phone (732) 409-5353

National Provider Directory

National Provider Directory

Locations

555 Iron Bridge Rd
Ste 12
Freehold, NJ 07728
Phone (732) 409-5353

499 Marlboro Rd
Ste 12
Old Bridge, NJ 08857
Phone (732) 360-9600

Practitioners & affiliated clinicians

Practitioners 4

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": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1669766143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5457",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088575457",
            "telephone_number": "732-409-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 IRON BRIDGE RD",
            "address_2": "SUITE 12",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282975",
            "telephone_number": "732-409-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC HEART SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "FALDU",
        "authorized_official_first_name": "SANJIV",
        "authorized_official_middle_name": "GIRISH",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "732-618-7424",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.