Holy Name Cardiology Associates, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA05680900 Issued in NJ

Legal business name

HOLY NAME CARDIOLOGY ASSOCIATES, PC

Practice address

954 Teaneck Road
Teaneck, NJ 07666-4245

Phone

(201) 833-2300

Fax

(201) 833-7600

NPI assigned

Nov 27, 2007

Last updated

Feb 22, 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

Patricia Beniquez Pacheco

Title

Credentialing Supervisor

Phone

(201) 833-3000

Specialties & licenses 3

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

Practitioners 10

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.

• Stephen J Angeli, MD

  • Interventional Cardiology Physician
  • Teaneck, NJ
  • NPI 1922007707
  Medicare reassignment Care Compare group NPD
• Shalin P. Desai, M.D.

  • Cardiovascular Disease Physician
  • Teaneck, NJ
  • NPI 1689841017
  Medicare reassignment Care Compare group NPD
• Gerard T Eichman, M.D.

  • Cardiovascular Disease Physician
  • Teaneck, NJ
  • NPI 1699774950
  Medicare reassignment Care Compare group NPD
• Nicole Eichman, FNP-C

  • Family Nurse Practitioner
  • Edgewater, NJ
  • NPI 1336801141
  Medicare reassignment Care Compare group NPD
• Francesco Petracca, NP

  • Primary Care Nurse Practitioner
  • Edgewater, NJ
  • NPI 1659114817
  Medicare reassignment Care Compare group NPD
• Tariqshah M Syed, M.D.

  • Cardiovascular Disease Physician
  • Teaneck, NJ
  • NPI 1811054703
  Medicare reassignment Care Compare group NPD
• David Marc Wild, MD

  • Cardiovascular Disease Physician
  • Teaneck, NJ
  • NPI 1013112671
  Medicare reassignment Care Compare group NPD
• Maureen L Richards, NP

  • Community Health Nurse Practitioner
  • West Orange, NJ
  • NPI 1972178721
  Medicare reassignment NPD
• Vasantha Kondamudi, MD

  • Family Medicine Physician
  • Teaneck, NJ
  • NPI 1144238924
  NPD (past)
• Raymond Villongco, M.D

  • Internal Medicine Physician
  • Teaneck, NJ
  • NPI 1962420281
  NPD (past)

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1710168232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 UNIVERSITY PLZ STE 205",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016208",
            "telephone_number": "201-833-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 TEANECK ROAD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-833-2300",
            "fax_number": "201-833-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY NAME CARDIOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "BENIQUEZ PACHECO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "201-833-3000"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA05680900",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA08402000",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NJ",
            "license": "25MA08402000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bella Hoffman, NP
• Michael Hoffman, LMSW
• Barbara C Hollman, LCSW
• Holy Medical Care
• Holy Name Anesthesia Partners
• Holy Name EMS
• Holy Name Health Physicians
• Holy Name Home Dialysis Center, Inc. (Holy Name Dialysis Center)
• Holy Name Hospital Ekg Interpretation Group
• Holy Name Hospital Regional Dialysis Center

• Cardiovascular Disease Physician in Teaneck, NJ
• Providers in Teaneck, 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 Feb 22, 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.