Organization Active NPI

Advanced Cardiovascular Medicine, LLC

  • Cardiovascular Disease Physician
  • Edison, NJ
National Provider Identifier
1699789917
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ADVANCED CARDIOVASCULAR MEDICINE, LLC
Practice address
1 Ethel Rd
Suite 101D
Edison, NJ 08817-2838
Phone
(732) 650-0040
Fax
(732) 650-0045
NPI assigned
Jul 29, 2006
Last updated
Mar 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Dr. Robert Joseph Schanzer, MDNPI 1114923661
Title
President
Phone
(732) 650-0040

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 Physician 207RC0000X NU Primary

Addresses

Primary practice location

1 Ethel Rd
Suite 101D
Edison, NJ 08817-2838

Mailing address

1 Ethel Rd
Suite 106D
Edison, NJ 08817-2838
Phone (732) 650-0040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061117000151 NJ Part B Supplier - Clinic/Group Practice 0143228759 Receives reassigned benefits from 2 practitioners
Practice locations: Edison, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1057720Advanced Cardiovascular Medicine1 Ethel Road, Edison, NJ 08817Certificate of waiverAug 20, 2026

National Provider Directory

National Provider Directory

Locations

1 Ethel Rd
Ste 101D
Edison, NJ 08817
Phone (732) 650-0040

1 Ethel Rd
Ste 106D
Edison, NJ 08817
Phone (732) 605-0040

Practitioners & affiliated clinicians

Practitioners 2

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": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1699789917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ETHEL RD",
            "address_2": "SUITE 106D",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172838",
            "telephone_number": "732-650-0040",
            "fax_number": "732-650-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ETHEL RD",
            "address_2": "SUITE 101D",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172838",
            "telephone_number": "732-650-0040",
            "fax_number": "732-650-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARDIOVASCULAR MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "SCHANZER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-650-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.