Active NPI
Advanced Cardiac Care LLC
- Interventional Cardiology Physician
- Bethlehem, PA
National Provider Identifier
1720050941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.