Organization Active NPI

Advanced Cardiac Care LLC

  • Interventional Cardiology Physician
  • Bethlehem, PA
National Provider Identifier
1720050941
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
ADVANCED CARDIAC CARE LLC
Practice address
3445 High Point Blvd
Suite 300
Bethlehem, PA 18017-7814
Phone
(610) 954-5490
Fax
(610) 954-5427
NPI assigned
Feb 2, 2006
Last updated
Apr 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Dr. Luis Tejada
Title
Co Owner
Phone
(610) 954-5490

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU
Interventional Cardiology Physician 207RI0011X NU Primary
Nuclear Cardiology Physician 207UN0901X NU

Addresses

Primary practice location

3445 High Point Blvd
Suite 300
Bethlehem, PA 18017-7814

Mailing address

3445 High Point Blvd
Suite 300
Bethlehem, PA 18017-7814
Phone (610) 954-5490

National Provider Directory

National Provider Directory

Locations

1107 Eaton Ave
Ste F
Bethlehem, PA 18018
Phone (610) 954-5490

3445 High Point Blvd
Ste 300
Bethlehem, PA 18017
Phone (610) 861-3080

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1720050941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 HIGH POINT BLVD",
            "address_2": "SUITE 300",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177814",
            "telephone_number": "610-954-5490",
            "fax_number": "610-954-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 HIGH POINT BLVD",
            "address_2": "SUITE 300",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177814",
            "telephone_number": "610-954-5490",
            "fax_number": "610-954-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARDIAC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "TEJADA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "610-954-5490",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.