Organization Active NPI

Penesetti Prasad MD Et Al

Doing business as Holmdel Cardiology Associates

  • Specialist
  • Holmdel, NJ
National Provider Identifier
1740234939
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PENESETTI PRASAD MD ET AL
Doing business as
Holmdel Cardiology Associates
Practice address
717 N Beers St
Suite 1B
Holmdel, NJ 07733-1524
Phone
(732) 264-0210
Fax
(732) 888-9214
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Dr. Niranjan Shah, M.D.
Title
Partner
Phone
(732) 264-0210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

717 N Beers St
Suite 1B
Holmdel, NJ 07733-1524

Mailing address

PO Box 370
Holmdel, NJ 07733-0370
Phone (732) 264-0210

Other names 1

  • Holmdel Cardiology Associates Doing business as

National Provider Directory

National Provider Directory

Locations

717 N Beers St
Ste 1B
Holmdel, NJ 07733
Phone (732) 264-0210

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1740234939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077330370",
            "telephone_number": "732-264-0210",
            "fax_number": "732-888-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N BEERS ST",
            "address_2": "SUITE 1B",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331524",
            "telephone_number": "732-264-0210",
            "fax_number": "732-888-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENESETTI PRASAD MD ET AL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NIRANJAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-264-0210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holmdel Cardiology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holmdel Cardiology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.