NPIMap

Organization Active NPI

Heart & Vascular Associates of Northern Jersey, P.a.

  • Specialist
  • Fair Lawn, NJ
National Provider Identifier
1699889980
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HEART & VASCULAR ASSOCIATES OF NORTHERN JERSEY, P.A.
Practice address
22-18 Broadway
Suite 201
Fair Lawn, NJ 07410-3016
Phone
(201) 475-5050
Fax
(201) 475-5522
NPI assigned
Aug 17, 2006
Last updated
Mar 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Terri Urgo
Title
Senior Practice Manager
Phone
(201) 475-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

22-18 Broadway
Suite 201
Fair Lawn, NJ 07410-3016

Mailing address

22-18 Broadway
Suite 201
Fair Lawn, NJ 07410-3016
Phone (201) 475-5050

Other identifiers 1

IdentifierTypeStateIssuer
8736502MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040422000058 NJ Part B Supplier - Clinic/Group Practice 4183610520 Receives reassigned benefits from 43 practitioners
Practice locations: Fair Lawn, NJ; Paterson, NJ; Wayne, NJ

National Provider Directory

National Provider Directory
Tax ID family
Heart Vascular Associates of Northern Jersey PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

297 Passaic St
Garfield, NJ 07026
Phone (973) 365-1338

Practitioners & affiliated clinicians

Practitioners 73

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.

View all 73

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1699889980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22-18 BROADWAY",
            "address_2": "SUITE 201",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103016",
            "telephone_number": "201-475-5050",
            "fax_number": "201-475-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22-18 BROADWAY",
            "address_2": "SUITE 201",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103016",
            "telephone_number": "201-475-5050",
            "fax_number": "201-475-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART & VASCULAR ASSOCIATES OF NORTHERN JERSEY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "URGO",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "SENIOR PRACTICE MANAGER",
        "authorized_official_telephone_number": "201-475-5050"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8736502",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.