Organization Active NPI

Cardiovascular Associates of North Jersey, P.C.

  • Cardiovascular Disease Physician
  • Englewood, NJ
National Provider Identifier
1760694343
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA05797800 Issued in NJ
Legal business name
CARDIOVASCULAR ASSOCIATES OF NORTH JERSEY, P.C.
Practice address
25 Rockwood PL
Ste 440
Englewood, NJ 07631-4957
Phone
(201) 568-3690
Fax
(201) 568-3667
NPI assigned
May 4, 2007
Last updated
Jun 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Dr. Samuel Suede, M.D.NPI 1164503116
Title
M.D., President
Phone
(201) 568-3690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA05797800 NJ Primary

Addresses

Primary practice location

25 Rockwood PL
Ste 440
Englewood, NJ 07631-4957

Mailing address

25 Rockwood PL
Suite 440
Englewood, NJ 07631-4957
Phone (201) 568-3690

Other identifiers 1

IdentifierTypeStateIssuer
5188407MedicaidNJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2019650Cardiovascular Associates of North Jersey, PC25 Rockwood Place, Suite 440, Englewood, NJ 07631Certificate of waiverJul 6, 2028

National Provider Directory

National Provider Directory

Locations

596 Anderson Ave
Ste 208
Cliffside Pk, NJ 07010
Phone (201) 941-0041

25 Rockwood Pl
Ste 440
Englewood, NJ 07631
Phone (201) 568-3690

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1760694343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ROCKWOOD PL",
            "address_2": "SUITE 440",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314957",
            "telephone_number": "201-568-3690",
            "fax_number": "201-568-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROCKWOOD PL",
            "address_2": "STE 440",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314957",
            "telephone_number": "201-568-3690",
            "fax_number": "201-568-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR ASSOCIATES OF NORTH JERSEY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "SUEDE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "M.D., PRESIDENT",
        "authorized_official_telephone_number": "201-568-3690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA05797800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5188407",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.