Organization Active NPI

Cardiac Care Specialists P.C.

  • Cardiovascular Disease Physician
  • Voorhees, NJ
National Provider Identifier
1770513517
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIAC CARE SPECIALISTS P.C.
Practice address
1020 Laurel Oak Rd
Suite 102
Voorhees, NJ 08043-3518
Phone
(856) 374-5167
Fax
(856) 374-5168
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William Judd
Title
Chief Operating Officer
Phone
(856) 374-5167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1020 Laurel Oak Rd
Suite 102
Voorhees, NJ 08043-3518

Mailing address

1020 Laurel Oak Rd
Suite 102
Voorhees, NJ 08043-3518
Phone (856) 374-5167

Other identifiers 1

IdentifierTypeStateIssuer
6286801MedicaidNJ

Other names 1

  • Southern New Jersey Cardiac Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

151 Fries Mill Rd
Ste 101
Turnersville, NJ 08012
Phone (856) 229-0138

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770513517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAUREL OAK RD",
            "address_2": "SUITE 102",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433518",
            "telephone_number": "856-374-5167",
            "fax_number": "856-374-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 LAUREL OAK RD",
            "address_2": "SUITE 102",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433518",
            "telephone_number": "856-374-5167",
            "fax_number": "856-374-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC CARE SPECIALISTS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "856-374-5167"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6286801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern New Jersey Cardiac Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.